Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JESSICA INNOCENT - JOHNSON
Active Sole ProprietorSpecialist · MASSAPEQUA PARK, NY
Registration Details
- NPI Number
- 1942726013
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 20, 2017 (8.68974753535 yrs)
- Last Updated
- Jul 21, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
5254 SUNRISE HWYMASSAPEQUA PARK, NY, 117622907Browse NY providers · Browse ZIP 11762
- Phone
- 5166910401
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in MASSAPEQUA PARK, NY
| Name | Credential | NPI |
|---|---|---|
| YANIRA DIGIORGIO | OTR | 1427351824 |
| LINDA MOLETA | MS | 1972864908 |
| MRS. GINA MARIE BELFIORE | — | 1164784922 |
| CHRISTINA CORRENTE | — | 1386906162 |
| MRS. SHARON IVY FORMAN | — | 1194087882 |
| MRS. NICOLE UFIER | — | 1144582172 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.