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Ms. Jessica Innocent - Johnson
Specialist in Massapequa Park, New York
NPI 1942726013

Jessica Innocent - Johnson is a Specialist based in Massapequa Park, NY. Jessica Innocent - Johnson practices in Massapequa Park, NY. The NPI Number for Jessica Innocent - Johnson is 1942726013 and holds a License No. (New York).

The current practice location address for Jessica Innocent - Johnson is 5254 Sunrise Hwy, Massapequa Park, NY and can be reached out via phone at 516-691-0401.

Location: 5254 Sunrise Hwy, Massapequa Park, NY, 11762-2907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942726013
Provider Name
Jessica Innocent - Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
5254 Sunrise Hwy, Massapequa Park, NY, 11762-2907
Phone Number
516-691-0401
Fax Number
Provider Enumeration Date
08/20/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5254 Sunrise Hwy
City
Massapequa Park
State
New York
Zip
11762-2907
Phone Number
516-691-0401
Fax Number
person
Provider Business Mailing Address Details
Address
5254 Sunrise Hwy
City
Massapequa Park
State
New York
Zip
11762-2907
Phone Number
516-691-0401
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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