Individual
JESSICA RUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGAC-NP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-7555
Mailing address
1510 LEXINGTON AVE APT 3T, NEW YORK, NY 10029-7152
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F432803-01
NY
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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