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Individual

JENNIFER L DRIESSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 SAINT CAMILLUS WAY, FAIRPORT, NY 14450-8500
(585) 377-4000
Mailing address
5948 CALM LAKE DR, FARMINGTON, NY 14425-8949

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309959
NY

Other

Enumeration date
01/11/2021
Last updated
01/11/2021
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