National Provider Identifier
Jessica R Otis, FNP
Jessica R Otis, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Bath, NY and a listed phone number of (607) 776-2247.
Profile Overview
- NPI
- 1255004727
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- July 29, 2021
- Last Updated
- August 30, 2023
Practice Location
- 7573 State Route 54
- Bath, NY 14810-9504
Phone: (607) 776-2247
Specialties
- Family Nurse Practitioner (363LF0000X)
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1255004727
- Entity Type
- Individual
- Last Name
- Otis
- First Name
- Jessica
- Middle Name
- R
- Credential
- FNP
- Mailing Street Address
- 7573 State Route 54
- Mailing City
- Bath
- Mailing State
- NY
- Mailing ZIP Code
- 14810-9504
- Mailing Country
- US
- Mailing Phone
- (607) 776-2247
- Practice Street Address
- 7573 State Route 54
- Practice City
- Bath
- Practice State
- NY
- Practice ZIP Code
- 14810-9504
- Practice Country
- US
- Practice Phone
- (607) 776-2247
- Enumeration Date
- July 29, 2021
- Last Updated
- August 30, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 30, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Family Medicine Physician (207Q00000X)