Individual
JESSICA MARIE MOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGPCNP-C
Contact information
Practice address
445 ABINGDON AVE, STATEN ISLAND, NY 10308-1319
(718) 807-1892
Mailing address
445 ABINGDON AVE, STATEN ISLAND, NY 10308-1319
(718) 807-1892
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F312230-01
NY
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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