Individual
JESSICA L CHAPPINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
3501 202ND ST, BAYSIDE, NY 11361-1117
(718) 224-7627
Mailing address
2 UNIVERSITY PLZ STE 204, HACKENSACK, NJ 07601-6211
(551) 295-8223
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
705682
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
307574
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A3JW
—
NY
Enumeration date
08/07/2015
Last updated
09/10/2025
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