Individual
JACQUELYNN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-5100
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
752807
NY
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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