Individual
JESSICA LOFTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(516) 808-8845
Mailing address
206 HAMILTON AVE, MASSAPEQUA, NY 11758-4006
(516) 808-8845
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404068
NY
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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