Individual
NERISSA DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
465 N STATE RD, BRIARCLIFF MANOR, NY 10510-1468
(914) 762-5810
(914) 762-4223
Mailing address
465 N STATE RD, BRIARCLIFF MANOR, NY 10510-1468
(914) 762-5810
(914) 762-4223
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430678
NY
Other
Enumeration date
09/25/2012
Last updated
08/12/2024
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