National Provider Identifier
Jessica McCollister, LPN
Jessica McCollister, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Fairport, NY and a listed phone number of (585) 944-9570.
Profile Overview
- NPI
- 1285041269
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- July 22, 2014
- Last Updated
- September 17, 2015
Practice Location
- 3 Willowick Dr
- Fairport, NY 14450-8944
Phone: (585) 944-9570
Specialties
- Licensed Practical Nurse (164W00000X)
- Home Health Agency (251E00000X)
Full Record
- NPI
- 1285041269
- Entity Type
- Individual
- Last Name
- McCollister
- First Name
- Jessica
- Credential
- LPN
- Mailing Street Address
- 3 Willowick Dr
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-8944
- Mailing Country
- US
- Mailing Phone
- (585) 944-9570
- Practice Street Address
- 3 Willowick Dr
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-8944
- Practice Country
- US
- Practice Phone
- (585) 944-9570
- Enumeration Date
- July 22, 2014
- Last Updated
- September 17, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X), Home Health Agency (251E00000X)
- Other Identifiers
- 318963 (NY)