Provider Demographics
NPI:1285267971
Name:NAVARRETTE, JESSICA LEONORA (NP)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:LEONORA
Last Name:NAVARRETTE
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:2155 SALISBURY PARK DR
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-6313
Mailing Address - Country:US
Mailing Address - Phone:516-526-5875
Mailing Address - Fax:
Practice Address - Street 1:2001 MARCUS AVE STE W290
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1098
Practice Address - Country:US
Practice Address - Phone:516-465-5255
Practice Address - Fax:718-347-2240
Is Sole Proprietor?:No
Enumeration Date:2020-02-20
Last Update Date:2020-02-20
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Provider Licenses
StateLicense IDTaxonomies
NY382713363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics