MS. Jessica Innocent - Johnson
MS. Jessica Innocent - Johnson is a Specialist in Massapequa Park, New York. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
5254 Sunrise HwyMassapequa Park, NY 11762-2907
Phone: (516) 691-0401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1942726013 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 20, 2017 |
| Last updated in NPPES | July 21, 2022 |
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