Individual
JESSICA JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
2578 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-2136
(516) 333-5555
Mailing address
695 PARK AVE, NEW YORK, NY 10065-5024
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311533
NY
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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