National Provider Identifier
Licemee Mbama-Mpolo
Licemee Mbama-Mpolo is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 922-4496.
Source: public NPPES record, last updated April 08, 2026. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1285401687
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- December 06, 2023
- Last Updated
- April 08, 2026
Practice Location
- 1415 Portland Ave Ste 245
- Rochester, NY 14621-3022
Phone: (585) 922-4496
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Family Nurse Practitioner (363LF0000X)
- Maternal Newborn Registered Nurse (163WM0102X)
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Biography
Licemee Mbama-Mpolo is a Rochester, New York nurse practitioner with experience at Rochester Regional Health. Public provider profiles place her at Unity Hospital and note clinical background spanning nurse practitioner practice, family medicine, and neonatology; her professional profile lists SUNY Brockport education from 2021 to 2024.
Full Record
- NPI
- 1285401687
- Entity Type
- Individual
- Last Name
- Mbama-Mpolo
- First Name
- Licemee
- 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 Ste 245
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3022
- Practice Country
- US
- Practice Phone
- (585) 922-4496
- Practice Fax
- (585) 922-4442
- Enumeration Date
- December 06, 2023
- Last Updated
- April 08, 2026
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 08, 2026
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Maternal Newborn Registered Nurse (163WM0102X)