Individual
MISS JESSICA LEE HULETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
120 GREENWOOD ST, CANISTEO, NY 14823-1233
(607) 698-4225
Mailing address
120 GREENWOOD ST, CANISTEO, NY 14823-1233
(607) 698-4225
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
626070
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
626070
—
NY
Enumeration date
11/16/2017
Last updated
11/16/2017
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