National Provider Identifier

Jennifer Deland, RN

Jennifer Deland, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Newark, NY and a listed phone number of (315) 573-7577.

NPI 1114696788Newark, NYRegistered Nurse

Profile Overview

NPI
1114696788
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
September 08, 2021
Last Updated
September 08, 2021

Practice Location

  • 513 W Union St
  • Newark, NY 14513-1365

Phone: (315) 573-7577

Mailing Address

  • 601B W Washington St
  • Geneva, NY 14456-2119

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1114696788
Entity Type
Individual
Last Name
Deland
First Name
Jennifer
Credential
RN
Mailing Street Address
601B W Washington St
Mailing City
Geneva
Mailing State
NY
Mailing ZIP Code
14456-2119
Mailing Country
US
Mailing Phone
(315) 781-8448
Practice Street Address
513 W Union St
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1365
Practice Country
US
Practice Phone
(315) 573-7577
Enumeration Date
September 08, 2021
Last Updated
September 08, 2021
Sex
Female
Sole Proprietor
No
Certification Date
September 08, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)