National Provider Identifier

Kanesha Jenise Terry

Kanesha Jenise Terry is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 405-4876.

NPI 1225890106Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1225890106
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 26, 2024
Last Updated
January 26, 2024

Practice Location

  • 128 Waring RD
  • Rochester, NY 14609-2608

Phone: (585) 405-4876

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1225890106
Entity Type
Individual
Last Name
Terry
First Name
Kanesha
Middle Name
Jenise
Mailing Street Address
128 Waring RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-2608
Mailing Country
US
Mailing Phone
(585) 405-4876
Practice Street Address
128 Waring RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-2608
Practice Country
US
Practice Phone
(585) 405-4876
Enumeration Date
January 26, 2024
Last Updated
January 26, 2024
Sex
Female
Sole Proprietor
No
Certification Date
November 08, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)