Individual
MS. JESSICA E BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
545 1ST AVE, GBH-C124, NEW YORK, NY 10016-6401
(212) 263-6600
Mailing address
545 1ST AVE, GBH-C124, NEW YORK, NY 10016-6401
(212) 263-6600
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F430411-1
NY
Other
Enumeration date
11/17/2008
Last updated
05/06/2019
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