Individual
JENNIFER MADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
601 ELMWOOD AVE, BOX SURG, ROCHESTER, NY 14642-8410
(585) 275-4435
(585) 276-2370
Mailing address
601 ELMWOOD AVE, BOX SURG, ROCHESTER, NY 14642-8410
(585) 275-4435
(585) 276-2370
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
F381250
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03274095
—
NY
Enumeration date
09/20/2006
Last updated
04/08/2011
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