Individual
MRS. JENNIFER LINDA PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1255 COUNTY ROUTE 35, CANTON, NY 13617-3937
(315) 250-3904
Mailing address
1255 COUNTY ROUTE 35, CANTON, NY 13617-3937
(315) 250-3904
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
22-507415
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-507415
REGISTERED PROFESSIONAL NURSING
NY
Enumeration date
03/19/2013
Last updated
03/19/2013
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