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Individual

JESSICA ANNE GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
200 MADISON AVE, SUITE 2D, ELMIRA, NY 14901-3218
(607) 733-4681
(607) 733-1729
Mailing address
571 SAINT JOSEPHS BLVD, FL 2, ELMIRA, NY 14901-3230
(607) 271-2050

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
336277
NY
363LF0000X
Family Nurse Practitioner
F336277-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03316305
NY
Enumeration date
11/30/2010
Last updated
06/10/2016
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