Individual
JENNA ANNE GONILLO-DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6536 ANTHONY DR STE C, VICTOR, NY 14564-1419
(585) 433-8050
(585) 492-9022
Mailing address
6536 ANTHONY DR STE C, VICTOR, NY 14564-1419
(585) 433-8050
(585) 492-9022
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
430910
NY
363LA2100X
Acute Care Nurse Practitioner
430910
NY
Other
Enumeration date
06/08/2015
Last updated
05/05/2026
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