Individual
JESSICA COLLINS FAIRCHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP
Contact information
Practice address
109 W 27TH ST RM 5S, NEW YORK, NY 10001-6208
(883) 351-8255
Mailing address
109 W 27TH ST RM 5S, NEW YORK, NY 10001-6208
(833) 351-8255
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2020009152
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
53-79148-102
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
901911
MS
363LP2300X
Primary Care Nurse Practitioner
901911
MS
Other
Enumeration date
08/29/2017
Last updated
11/19/2025
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