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Individual

JESSICA TIMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, PMHNP-BC

Contact information

Practice address
241 NORTH RD, POUGHKEEPSIE, NY 12601-1154
(845) 334-3110
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
703293
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405056
NY

Other

Enumeration date
05/09/2023
Last updated
06/12/2023
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