Mrs. Jessica Marie Mennella
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
1991 Marcus Ave
New Hyde Park
, New York 11042-2057
Mrs. Jessica Marie Mennella
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
1991 Marcus Ave
New Hyde Park
, New York 11042-2057
(516) 542-5556
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Mrs. Jessica Marie Mennella
- 55 Water St Fl 12
- New York, NY
- Zip : 10041-0004
- Fax : (516) 542-5556
- Phone : (646) 680-2888
Second Address
- Mrs. Jessica Marie Mennella
- 1991 Marcus Ave
- New Hyde Park, NY
- Zip : 11042-2057
- Fax : (516) 941-4677
- Phone : (516) 354-1600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 307519 | NY |
| N | 363LG0600X | Nurse Practitioner - Gerontology | 307519 | NY |
National Provider Identifier
| NPI | 1043676471 |
|---|---|
| Provider Name | Mrs. Jessica Marie Mennella |
| First Address | New York, NY 10041-0004 |
| Second Address | New Hyde Park, NY 11042-2057 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/01/2016 |
| Last Update Date | 10/11/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.