Individual provider · Type 1 NPI

Jessica Marie Mennella, AGPCNP-C

Adult Health Nurse Practitioner · New Hyde Park, NY

NPI number 1043676471 Active

Practice location

1991 Marcus Ave
New Hyde Park, NY 11042-2057

Fax (516) 941-4677

Mailing address

55 Water St Fl 12
New York, NY 10041-0004

Other practice locations

  • 1991 Marcus Ave, New Hyde Park, NY 11042-2057 · (646) 680-4081

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X307519 (NY)
Adult Health Nurse Practitioner Primary 363LA2200X307519 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1043676471

Jessica Marie Mennella, AGPCNP-C's National Provider Identifier is 1043676471, issued on Jan 14, 2016. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New Hyde Park, NY. The record was last updated on Nov 10, 2017.