National Provider Identifier

Jillian M Doores, BSW

Jillian M Doores, BSW is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Canandaigua, NY and a listed phone number of (585) 396-4972.

NPI 1295608685Canandaigua, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1295608685
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
September 24, 2025
Last Updated
September 24, 2025

Practice Location

  • 3019 County Complex Dr
  • Canandaigua, NY 14424-9505

Phone: (585) 396-4972

Mailing Address

  • 157 Telyea St
  • Canandaigua, NY 14424-1652

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1295608685
Entity Type
Individual
Last Name
Doores
First Name
Jillian
Middle Name
M
Credential
BSW
Mailing Street Address
157 Telyea St
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-1652
Mailing Country
US
Practice Street Address
3019 County Complex Dr
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-9505
Practice Country
US
Practice Phone
(585) 396-4972
Enumeration Date
September 24, 2025
Last Updated
September 24, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
September 10, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)