Individual provider · Type 1 NPI

Jessica Fudge

Specialist · Glen Oaks, NY

NPI number 1427740943 Active

Practice location

7132 260th St
Glen Oaks, NY 11004-1151

Call (134) 783-4409 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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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About NPI 1427740943

Jessica Fudge's National Provider Identifier is 1427740943, issued on May 23, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Glen Oaks, NY. The record was last updated on May 23, 2023.