National Provider Identifier
Carla R Jungquist, NP
Carla R Jungquist, NP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Canandaigua, NY and a listed phone number of (585) 341-7575.
Profile Overview
- NPI
- 1245268747
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- June 30, 2006
- Last Updated
- June 11, 2024
Practice Location
- 3170 West St Ste 275
- Canandaigua, NY 14424-1711
Phone: (585) 341-7575
Specialties
- Nurse Practitioner (363L00000X)
- Registered Nurse (163W00000X)
Endpoints
- cjungquist134012@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1245268747
- Entity Type
- Individual
- Last Name
- Jungquist
- First Name
- Carla
- Middle Name
- R
- Credential
- NP
- Mailing Street Address
- 3170 West St Ste 275
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1711
- Mailing Country
- US
- Mailing Phone
- (585) 341-7575
- Practice Street Address
- 3170 West St Ste 275
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1711
- Practice Country
- US
- Practice Phone
- (585) 341-7575
- Enumeration Date
- June 30, 2006
- Last Updated
- June 11, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 11, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X), Registered Nurse (163W00000X)
- Other Identifiers
- 02379573 (NY)