Jessica M Balraj
Nurse Practitioner, Family in Bronx, NY. Individual provider (NPI-1).
NPI number1497510366
StatusActive
Last updated in NPPESMar 21, 2024
Details
- NPI
- 1497510366
- Entity type
- Individual (NPI-1)
- Name
- Jessica M Balraj
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2024
- Certification date
- Mar 21, 2024
- Last updated
- Mar 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F349988 | NY | Yes |
Practice location
2015 Grand ConcourseBronx, NY 10453-4303
Phone 718-583-7736 · Fax 718-537-6180
Mailing address
2626 Halperin AveBronx, NY 10461-2631
Phone 718-618-0401 · Fax 347-479-1303
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