Individual
JESSICA RENEE RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10-42 MITCHELL AVE, KREMBS 1, BINGHAMTON, NY 13903
(607) 762-2990
(607) 762-2639
Mailing address
33 LEWIS RD, 2ND FLOOR, BINGHAMTON, NY 13905
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401324
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03253789
—
NY
Enumeration date
08/24/2010
Last updated
04/04/2017
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