Individual
JESSICA HOGESTYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 AYRAULT RD STE 200, FAIRPORT, NY 14450-8941
(585) 602-2300
(585) 425-2750
Mailing address
800 AYRAULT RD STE 200, FAIRPORT, NY 14450-8941
(585) 602-2300
(585) 425-2750
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
640423
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
308747
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05349959
—
NY
Enumeration date
08/02/2018
Last updated
06/30/2023
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