National Provider Identifier
Jessica Anna Marriam, LPN
Jessica Anna Marriam, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Caledonia, NY and a listed phone number of (585) 705-3588.
Profile Overview
- NPI
- 1174963938
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- June 26, 2013
- Last Updated
- June 26, 2013
Practice Location
- 305 Leicester St
- Caledonia, NY 14423-1205
Phone: (585) 705-3588
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1174963938
- Entity Type
- Individual
- Last Name
- Marriam
- First Name
- Jessica
- Middle Name
- Anna
- Credential
- LPN
- Mailing Street Address
- 305 Leicester St
- Mailing City
- Caledonia
- Mailing State
- NY
- Mailing ZIP Code
- 14423-1205
- Mailing Country
- US
- Mailing Phone
- (585) 705-3588
- Practice Street Address
- 305 Leicester St
- Practice City
- Caledonia
- Practice State
- NY
- Practice ZIP Code
- 14423-1205
- Practice Country
- US
- Practice Phone
- (585) 705-3588
- Enumeration Date
- June 26, 2013
- Last Updated
- June 26, 2013
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 311010 (NY, License)