National Provider Identifier

Jane Mousso, LPN

Jane Mousso, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Fairport, NY and a listed phone number of (585) 383-2216.

NPI 1205623634Fairport, NYLicensed Practical Nurse

Profile Overview

NPI
1205623634
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 21, 2025
Last Updated
April 21, 2025

Practice Location

  • 41 Oconnor RD
  • Fairport, NY 14450-1327

Phone: (585) 383-2216

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1205623634
Entity Type
Individual
Last Name
Mousso
First Name
Jane
Credential
LPN
Mailing Street Address
41 Oconnor RD
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-1327
Mailing Country
US
Mailing Phone
(585) 383-2216
Practice Street Address
41 Oconnor RD
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1327
Practice Country
US
Practice Phone
(585) 383-2216
Enumeration Date
April 21, 2025
Last Updated
April 21, 2025
Sex
Female
Sole Proprietor
No
Certification Date
April 21, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)