Individual
JACQUELINE T NASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
905 CULVER RD, ROCHESTER, NY 14609-7141
(585) 275-7892
(585) 341-6673
Mailing address
601 ELMWOOD AVE, BOX 668, ROCHESTER, NY 14642-0001
(585) 275-0638
(585) 273-3359
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
675
NY
367A00000X
Advanced Practice Midwife
Primary
F000675
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01975873
—
NY
01
—
7751220
AETNA
NY
01
—
MDF449
PREFERRED CARE
NY
01
—
P010000675
BLUE CHOICE
NY
Enumeration date
07/04/2006
Last updated
07/05/2023
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