Individual provider · Type 1 NPI

Jessica Innocent - Johnson

Specialist · Massapequa Park, NY

NPI number 1942726013 Active

Practice location

5254 Sunrise Hwy
Massapequa Park, NY 11762-2907

Call (516) 691-0401 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 1942726013

Jessica Innocent - Johnson's National Provider Identifier is 1942726013, issued on Aug 20, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Massapequa Park, NY. The record was last updated on Jul 21, 2022.