Individual
JESSICA L MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
418 S HAMILTON ST STE 109A, PAINTED POST, NY 14870-9705
(607) 936-2089
(607) 936-8176
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
(607) 873-1244
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
339749
NY
363LF0000X
Family Nurse Practitioner
339749
NY
363LF0000X
Family Nurse Practitioner
SP015862
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04273185
—
NY
Enumeration date
06/16/2015
Last updated
11/25/2020
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