Individual
JESSICA PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
1330 1ST AVE APT 227, NEW YORK, NY 10021-4745
(615) 779-6985
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
673363
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
431314
NY
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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