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Individual

KIMBERLY ANN JANNELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(215) 519-0416
Mailing address
100 STARBOARD SIDE LN APT 105, WEBSTER, NY 14580-2282

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F431219-1
NY

Other

Enumeration date
02/17/2018
Last updated
02/17/2018
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