Provider Demographics
NPI:1205290418
Name:CINGEL, JESSICA (CNM, LM, PMHNP, NP-P)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:CINGEL
Suffix:
Gender:F
Credentials:CNM, LM, PMHNP, NP-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 ARTS CIR
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-5306
Mailing Address - Country:US
Mailing Address - Phone:518-331-7000
Mailing Address - Fax:
Practice Address - Street 1:96 ARTS CIR
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-5306
Practice Address - Country:US
Practice Address - Phone:518-331-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-13
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF405159-01363LP0808X
NY001734367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife