National Provider Identifier
Jessica Frazo, PNP
Jessica Frazo, PNP is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Rushville, NY and a listed phone number of (585) 554-4400.
Profile Overview
- NPI
- 1275695983
- Provider Type
- Individual
- Primary Specialty
- Pediatric Nurse Practitioner
- Enumeration Date
- December 16, 2006
- Last Updated
- December 04, 2023
Practice Location
- 2 Rubin Dr
- Rushville, NY 14544-9681
Phone: (585) 554-4400
Mailing Address
- 1 S Washington St Ste 300
- Rochester, NY 14614-1134
Specialties
- Pediatric Nurse Practitioner (363LP0200X)
Full Record
- NPI
- 1275695983
- Entity Type
- Individual
- Last Name
- Frazo
- First Name
- Jessica
- Credential
- PNP
- Mailing Street Address
- 1 S Washington St Ste 300
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14614-1134
- Mailing Country
- US
- Mailing Phone
- (585) 325-2280
- Practice Street Address
- 2 Rubin Dr
- Practice City
- Rushville
- Practice State
- NY
- Practice ZIP Code
- 14544-9681
- Practice Country
- US
- Practice Phone
- (585) 554-4400
- Enumeration Date
- December 16, 2006
- Last Updated
- December 04, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 04, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Nurse Practitioner (363LP0200X)
- Other Identifiers
- 02073605 (NY), P109381105 (NY, Blue Cross), 109567DL (NY, Preferred Care)