Individual
MRS. JESSICA LEIGH SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
4184 MILLER ST, WILLIAMSON, NY 14589-9713
(315) 589-9665
(315) 589-8314
Mailing address
PO BOX 900, WILLIAMSON, NY 14589-0900
(315) 589-9665
(315) 589-8314
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
562347-1
NY
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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