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Individual

JESSICA ELIZABETH ROUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
30 RAMLAND RD S STE 200A, ORANGEBURG, NY 10962-2626
(845) 359-0010
(845) 359-3414
Mailing address
30 RAMLAND RD S STE 200A, ORANGEBURG, NY 10962-2626
(845) 359-0010
(845) 359-3414

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F347757
NY

Other

Enumeration date
10/07/2021
Last updated
03/23/2025
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