National Provider Identifier
Trista Jamie Teets
Trista Jamie Teets is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Brockport, NY and a listed phone number of (585) 637-3905.
Profile Overview
- NPI
- 1083441703
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- September 17, 2024
- Last Updated
- July 31, 2025
Practice Location
- 300 West Ave
- Brockport, NY 14420-1118
Phone: (585) 637-3905
Mailing Address
- 174 Gary Dr
- Brockport, NY 14420-2672
Specialties
- Family Nurse Practitioner (363LF0000X)
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1083441703
- Entity Type
- Individual
- Last Name
- Teets
- First Name
- Trista
- Middle Name
- Jamie
- Mailing Street Address
- 174 Gary Dr
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-2672
- Mailing Country
- US
- Mailing Phone
- (585) 485-3024
- Practice Street Address
- 300 West Ave
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1118
- Practice Country
- US
- Practice Phone
- (585) 637-3905
- Enumeration Date
- September 17, 2024
- Last Updated
- July 31, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- July 31, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Pediatrics Physician (208000000X)