National Provider Identifier
Diamond Juilet Anderson
Diamond Juilet Anderson is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 922-0930.
Profile Overview
- NPI
- 1255603312
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- February 06, 2012
- Last Updated
- August 01, 2024
Practice Location
- 1415 Portland Ave
- Rochester, NY 14621-3038
Phone: (585) 922-0930
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Family Nurse Practitioner (363LF0000X)
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1255603312
- Entity Type
- Individual
- Last Name
- Anderson
- First Name
- Diamond
- Middle Name
- Juilet
- Name Prefix
- MS.
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Practice Street Address
- 1415 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3038
- Practice Country
- US
- Practice Phone
- (585) 922-0930
- Enumeration Date
- February 06, 2012
- Last Updated
- August 01, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 01, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Licensed Practical Nurse (164W00000X)