Individual
JEWEL-ANN LESSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219
(347) 574-6465
Mailing address
208 BEECHWOOD AVE, ROOSEVELT, NY 11575-1616
(347) 574-6465
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309857
NY
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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