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Individual

JESSICA LANE WEISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, WHNP

Contact information

Practice address
80 MAIDEN LN, STE 901, NEW YORK, NY 10038-4811
(212) 366-4765
(212) 229-1020
Mailing address
80 MAIDEN LN, STE 901, NEW YORK, NY 10038-4811
(212) 366-4765
(212) 229-1020

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
657412-1
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
421153-1
NY

Other

Enumeration date
03/25/2013
Last updated
04/18/2017
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