Individual
MS. JESSICA RENEE SAUCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
160 PARKSIDE AVE APT 15C, BROOKLYN, NY 11226-1248
(917) 586-0148
Mailing address
160 PARKSIDE AVE APT 15C, BROOKLYN, NY 11226-1248
(917) 586-0148
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
308819
NY
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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