Individual
MS. JESSICA S LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
1802 PETRACCA PL, WHITESTONE, NY 11357-6000
(646) 722-7610
Mailing address
305 E 7TH ST, BROOKLYN, NY 11218-3313
(646) 784-9699
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307662-1
NY
Other
Enumeration date
03/17/2016
Last updated
11/18/2025
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