National Provider Identifier
Jessica Herendeen
Jessica Herendeen is listed in the NPPES registry with a primary specialty of Registered Nurse in Clifton Springs, NY and a listed phone number of (315) 462-1050.
Profile Overview
- NPI
- 1083356414
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- April 07, 2022
- Last Updated
- April 07, 2022
Practice Location
- 2 Coulter RD
- Clifton Springs, NY 14432-1122
Phone: (315) 462-1050
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1083356414
- Entity Type
- Individual
- Last Name
- Herendeen
- First Name
- Jessica
- Mailing Street Address
- 2 Coulter RD
- Mailing City
- Clifton Springs
- Mailing State
- NY
- Mailing ZIP Code
- 14432-1122
- Mailing Country
- US
- Mailing Phone
- (315) 462-1050
- Practice Street Address
- 2 Coulter RD
- Practice City
- Clifton Springs
- Practice State
- NY
- Practice ZIP Code
- 14432-1122
- Practice Country
- US
- Practice Phone
- (315) 462-1050
- Enumeration Date
- April 07, 2022
- Last Updated
- April 07, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 07, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)