Individual provider · Type 1 NPI

Jessica L. Amaya Gonzalez, ADULT/GERONTOLOGY NP

Adult Health Nurse Practitioner · Roslyn, NY

NPI number 1144737164 Active

Practice location

100 Port Washington Blvd
Roslyn, NY 11576-1353

Specialties and licenses

Taxonomy	Code	License
Gerontology Nurse Practitioner	363LG0600X	F308225-1 (NY)
Adult Health Nurse Practitioner Primary	363LA2200X	F308225-1 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1144737164

Jessica L. Amaya Gonzalez, ADULT/GERONTOLOGY NP's National Provider Identifier is 1144737164, issued on Dec 29, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Roslyn, NY. The record was last updated on Apr 1, 2021.