Individual
JENNA BORRELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 SPINDRIFT DR STE 100, WILLIAMSVILLE, NY 14221-7889
(716) 422-5422
Mailing address
179 WOODSMOKE LN, ROCHESTER, NY 14612-1647
(585) 301-8326
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
346939
NY
363LF0000X
Family Nurse Practitioner
712876
NY
Other
Enumeration date
11/03/2021
Last updated
01/11/2022
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