Individual
MS. JACQUELINE REPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2000 LEHIGH STATION RD, HENRIETTA, NY 14467-9620
(585) 359-5560
Mailing address
2000 LEHIGH STATION RD, HENRIETTA, NY 14467-9620
(585) 359-5560
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
391557
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01497492
—
NY
Enumeration date
03/29/2012
Last updated
03/29/2012
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