Individual
SUZANNE JAYNE BUMPUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2964
Mailing address
601 ELMWOOD AVE, BOX 635, ROCHESTER, NY 14642-0001
(585) 275-2964
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F334944
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02857909
—
NY
Enumeration date
03/12/2007
Last updated
08/10/2012
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