Individual
JENNIE LYNNE DELANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1000 ELMWOOD AVE., 100, ROCHESTER, NY 14620
(585) 271-2897
Mailing address
1000 ELMWOOD AVE STE 100, ROCHESTER, NY 14620-3042
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
6975941
NY
163WS0200X
School Registered Nurse
Primary
697594-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770030348
—
NY
Enumeration date
09/01/2016
Last updated
09/23/2020
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