Individual
JESSICA MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1991 MARCUS AVE FL 2, NEW HYDE PARK, NY 11042-2057
(516) 354-1600
(516) 941-4673
Mailing address
55 WATER ST FL 2, NEW YORK, NY 10041-0010
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310866
NY
Other
Enumeration date
08/31/2022
Last updated
08/12/2025
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