Individual
JESSICA DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7901 BROADWAY # A1-19, ELMHURST, NY 11373-1329
(718) 334-5741
(718) 334-5006
Mailing address
7901 BROADWAY # A1-19, ELMHURST, NY 11373-1329
(718) 334-5741
(718) 334-5006
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
311125
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
311125
NY
Other
Enumeration date
02/06/2023
Last updated
01/03/2024
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