Individual provider · Type 1 NPI
Jessica Marie Mock, MSN, APRN, AGPCNP-C
Adult Health Nurse Practitioner · Staten Island, NY
NPI number
1720872294
Active
Practice location
445 Abingdon Ave
Staten Island, NY 10308-1319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F312230-01 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1720872294
Jessica Marie Mock, MSN, APRN, AGPCNP-C's National Provider Identifier is 1720872294, issued on Apr 8, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Staten Island, NY. The record was last updated on Apr 8, 2025.