Individual provider · Type 1 NPI

Jessica Mulligan, NP

Adult Health Nurse Practitioner · New Hyde Park, NY

NPI number 1700506789 Active

Practice location

1991 Marcus Ave Fl 2
New Hyde Park, NY 11042-2057

Fax (516) 941-4673

Mailing address

55 Water St Fl 2
New York, NY 10041-0010

Other practice locations

  • 260 W Sunrise Hwy Ste 200, Valley Stream, NY 11581-1015 · (516) 825-3600

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF310866 (NY)

Adult Health Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1700506789

Jessica Mulligan, NP's National Provider Identifier is 1700506789, issued on Aug 31, 2022. 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 Aug 12, 2025.