Individual provider · Type 1 NPI

Jessica Fassano, CPNP-BC

Pediatric Nurse Practitioner · New Hyde Park, NY

NPI number 1255847679 Active

Practice location

26901 76th Ave
New Hyde Park, NY 11040-1433

Mailing address

6822 Madeline Ct
Brooklyn, NY 11220-5807

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF382804-1 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1255847679

Jessica Fassano, CPNP-BC's National Provider Identifier is 1255847679, issued on Dec 21, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New Hyde Park, NY. The record was last updated on Dec 21, 2017.