{
"Npi": {
"NPI": "1750742912",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ABAD",
"FirstName": "JESSICA",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "WHNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "105 STEVENS AVE STE 506",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MOUNT VERNON",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10550-2683",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "914-665-2229",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "105 STEVENS AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MOUNT VERNON",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10550-2686",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "646-329-4773",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/16/2016",
"LastUpdateDate": "05/17/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "164W00000X",
"TaxonomyName": "Licensed Practical Nurse",
"LicenseNumber": "311895",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LW0102X",
"TaxonomyName": "Women's Health Nurse Practitioner",
"LicenseNumber": "F421787",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "163W00000X",
"TaxonomyName": "Registered Nurse",
"LicenseNumber": "745739",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}