Individual
JESSICA DANIELLE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, RN, BSN, MSN
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(516) 734-7000
Mailing address
20 AVE AT PORT IMPERIAL APT 416, WEST NEW YORK, NJ 07093-8421
(775) 688-9518
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
661821
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
661821
NY
Other
Enumeration date
02/22/2019
Last updated
06/05/2023
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