Provider Demographics
NPI:1457521064
Name:JOSE, JESSY P (FNP)
Entity Type:Individual
Prefix:MRS
First Name:JESSY
Middle Name:P
Last Name:JOSE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE GUSTAVE L LEVY PLACE
Mailing Address - Street 2:THE MOUNT SINAI MEDICAL CENTER
Mailing Address - City:NEWYORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-241-8095
Mailing Address - Fax:
Practice Address - Street 1:ONE GUSTAVE L LEVY PLACE
Practice Address - Street 2:THE MOUNT SINAI MEDICAL CENTER
Practice Address - City:NEWYORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-241-8095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY333251363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily