Individual
JESSICA NOELLE JEZYCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7000
Mailing address
649 PELTON AVE, STATEN ISLAND, NY 10310-3009
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432053
NY
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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