Individual
MS. JACQUELINE PATRICIA DENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1050 PITTSFORD VICTOR RD, PARKVIEW PEDIATRICS, PLLC, PITTSFORD, NY 14534-3812
(585) 383-1160
(585) 383-8945
Mailing address
1050 PITTSFORD VICTOR RD, PARKVIEW PEDIATRICS, PLLC, PITTSFORD, NY 14534-3812
(585) 383-1160
(585) 383-8945
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381163
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109346DL
PREFERRED CARE
NY
01
—
P019381163
EXCELLUS MANAGED CARE
NY
Enumeration date
04/13/2006
Last updated
09/27/2010
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