Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Fudge

Individual provider Specialist · NPI 1427740943

Jessica Fudge is a Specialist in Glen Oaks, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
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Practice location Address checks out

7132 260th St
Glen Oaks, NY 11004-1151
Phone: (134) 783-4409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NY)

Record details

NPI number1427740943
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 23, 2023
Last updated in NPPESMay 23, 2023
Certification dateMay 23, 2023
Mailing address7132 260th St, Glen Oaks, NY 11004-1151

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