National Provider Identifier
Jessica Anne Gonzalez, FNP-C
Jessica Anne Gonzalez, FNP-C is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Elmira, NY and a listed phone number of (607) 733-4681.
Profile Overview
- NPI
- 1144522996
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- November 30, 2010
- Last Updated
- June 10, 2016
Practice Location
- 200 Madison Ave
- Suite 2D
- Elmira, NY 14901-3218
Phone: (607) 733-4681
Mailing Address
- 571 Saint Josephs Blvd
- Fl 2
- Elmira, NY 14901-3230
Specialties
- Nurse Practitioner (363L00000X)
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1144522996
- Entity Type
- Individual
- Last Name
- Gonzalez
- First Name
- Jessica
- Middle Name
- Anne
- Credential
- FNP-C
- Provider Other Last Name
- Prosser
- Provider Other First Name
- Jessica
- Provider Other Middle Name
- Anne
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 571 Saint Josephs Blvd
- Mailing Address Line 2
- Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Practice Street Address
- 200 Madison Ave
- Practice Address Line 2
- Suite 2D
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-3218
- Practice Country
- US
- Practice Phone
- (607) 733-4681
- Practice Fax
- (607) 733-1729
- Enumeration Date
- November 30, 2010
- Last Updated
- June 10, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X), Family Nurse Practitioner (363LF0000X)
- Other Identifiers
- 03316305 (NY)