Jessica Lynne Mollard N.P.

NPI 1073829503 - Nurse Practitioner - 363LN0000X

NPI Details
NPI 1073829503
Gender Female
Enumeration Date 08/22/2010
Last Updated 08/22/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
12 HILLOCK CT
GLENVILLE NY, 12302-3735, US
Phone (518) 399-4368
Fax
Business Location
12 HILLOCK CT
GLENVILLE NY, 12302-3735, US
Phone (518) 399-4368
Fax
Toxanomy
Taxonomy Code 363LN0000X
License State New York
License Number 587019
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According to our database, Miss Jessica Lynne Mollard N.P. NPI is 1073829503, taxonomy code is 363LN0000X and license number is 587019, license state is located at New York. Jessica Lynne Mollard N.P. physically located at 12 Hillock Ct, Glenville NY, 12302-3735. NPI Number Jessica Lynne Mollard N.P. has the Individual type.

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1073829503 NPI number is provided on an as is basis without warranty of any kind. 1073829503 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Lynne Mollard N.P. are for informational purposes only.