National Provider Identifier
Jennifer L Driessen
Jennifer L Driessen is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Fairport, NY and a listed phone number of (585) 377-4000.
Profile Overview
- NPI
- 1134718638
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- January 11, 2021
- Last Updated
- January 11, 2021
Practice Location
- 100 Saint Camillus Way
- Fairport, NY 14450-8500
Phone: (585) 377-4000
Mailing Address
- 5948 Calm Lake Dr
- Farmington, NY 14425-8949
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1134718638
- Entity Type
- Individual
- Last Name
- Driessen
- First Name
- Jennifer
- Middle Name
- L
- Mailing Street Address
- 5948 Calm Lake Dr
- Mailing City
- Farmington
- Mailing State
- NY
- Mailing ZIP Code
- 14425-8949
- Mailing Country
- US
- Practice Street Address
- 100 Saint Camillus Way
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-8500
- Practice Country
- US
- Practice Phone
- (585) 377-4000
- Enumeration Date
- January 11, 2021
- Last Updated
- January 11, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 11, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)