Individual
MRS. JENNIFER PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2486 MAIN RD, EAST PEMBROKE, NY 14056
(585) 762-8713
Mailing address
2486 MAIN RD, EAST PEMBROKE, NY 14056
(585) 762-8713
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
589548-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
589548-1
NEW YORK STATE OFFICE OF PROFESSIONS
NY
Enumeration date
09/13/2019
Last updated
09/13/2019
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