Individual
JESSENIA AMANDA PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(917) 330-0203
Mailing address
696 LENORE LN, ELMONT, NY 11003-4526
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
866708-01
NY
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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