National Provider Identifier
Jeannine Marie Destries, FNP
Jeannine Marie Destries, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Trumansburg, NY and a listed phone number of (607) 387-5707.
Profile Overview
- NPI
- 1114543691
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- June 22, 2020
- Last Updated
- June 22, 2020
Practice Location
- 4435 Seneca RD
- Trumansburg, NY 14886-9201
Phone: (607) 387-5707
Mailing Address
- 248 White Church RD
- Brooktondale, NY 14817-9766
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1114543691
- Entity Type
- Individual
- Last Name
- Destries
- First Name
- Jeannine
- Middle Name
- Marie
- Credential
- FNP
- Mailing Street Address
- 248 White Church RD
- Mailing City
- Brooktondale
- Mailing State
- NY
- Mailing ZIP Code
- 14817-9766
- Mailing Country
- US
- Mailing Phone
- (607) 279-1621
- Practice Street Address
- 4435 Seneca RD
- Practice City
- Trumansburg
- Practice State
- NY
- Practice ZIP Code
- 14886-9201
- Practice Country
- US
- Practice Phone
- (607) 387-5707
- Enumeration Date
- June 22, 2020
- Last Updated
- June 22, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 22, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)