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Individual

MRS. JACQUELINE NESETA NELSON-LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-0326
Mailing address
1210 E 84TH ST, BROOKLYN, NY 11236-4912
(718) 531-4024

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F335743
NY

Other

Enumeration date
01/05/2009
Last updated
01/05/2009
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