Individual provider · Type 1 NPI

Jessica Luciell Casilla Marte

Family Nurse Practitioner · Bronx, NY

NPI number 1922961002 Active

Practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Fax (347) 479-1303

Mailing address

2626 Halperin Ave
Bronx, NY 10461-2631

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X358343 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1922961002

Jessica Luciell Casilla Marte's National Provider Identifier is 1922961002, issued on Dec 5, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bronx, NY. The record was last updated on Dec 5, 2025.