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General NPI Number Information
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NPI Number | 1750742912
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Entity Type | Individual
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Provider Name | JESSICA ABAD WHNP
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Gender | Female
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Dates
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Enumeration Date | 03/16/2016
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Last Update Date | 05/17/2026
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Provider Practice Location Address
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Address Line | 105 STEVENS AVE
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City | MOUNT VERNON
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State | NY
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Zip | 10550-2686
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Country | US
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Telephone | 646-329-4773
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Fax |
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Provider Business Mailing Address
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Address Line | 105 STEVENS AVE STE 506
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City | MOUNT VERNON
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State | NY
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Zip | 10550-2683
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Country | US
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Telephone | 914-665-2229
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 311895
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | F421787
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 745739
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License Number State | NY
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