Individual
DR. JESSICA DENISSE VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, PMHNP
Contact information
Practice address
1900 N 9TH ST, PHILADELPHIA, PA 19122-2024
(267) 259-3373
Mailing address
1900 N 9TH ST, PHILADELPHIA, PA 19122-2024
(267) 259-3373
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
LG-0011496
PA
363LF0000X
Family Nurse Practitioner
Primary
SP-020660
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
L8-0010884
DE
Other
Enumeration date
08/10/2019
Last updated
01/29/2026
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