Individual provider · Type 1 NPI

Jessica Davalos-Edwards

Acute Care Nurse Practitioner · Manhasset, NY

NPI number 1720957889 Active

Practice location

300 Community Dr
Manhasset, NY 11030-3816

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner Primary	363LA2100X	XXXXXXX (NY)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1720957889

Jessica Davalos-Edwards's National Provider Identifier is 1720957889, issued on Nov 5, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Manhasset, NY. The record was last updated on Nov 5, 2025.