Individual
MS. JAIME LYNN FORDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP- B.C.
Contact information
Practice address
125 LATTIMORE RD STE 150, ROCHESTER, NY 14620-4156
(585) 275-2691
Mailing address
601 ELMWOOD AVE BOX 668, ROCHESTER, NY 14642-0001
(585) 275-2691
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
421350
NY
207VG0400X
Gynecology Physician
Primary
F-421350-01
NY
Other
Enumeration date
08/15/2022
Last updated
06/30/2023
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