National Provider Identifier

Jessica Prior, RN

Jessica Prior, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Randolph, NY and a listed phone number of (716) 358-3636.

NPI 1306566807Randolph, NYRegistered Nurse

Profile Overview

NPI
1306566807
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
September 02, 2022
Last Updated
September 02, 2022

Practice Location

  • 356 Main St E
  • Randolph, NY 14772-9696

Phone: (716) 358-3636

Mailing Address

  • 4653 Van Slyke RD
  • Randolph, NY 14772-9682

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1306566807
Entity Type
Individual
Last Name
Prior
First Name
Jessica
Credential
RN
Mailing Street Address
4653 Van Slyke RD
Mailing City
Randolph
Mailing State
NY
Mailing ZIP Code
14772-9682
Mailing Country
US
Mailing Phone
(716) 417-3923
Practice Street Address
356 Main St E
Practice City
Randolph
Practice State
NY
Practice ZIP Code
14772-9696
Practice Country
US
Practice Phone
(716) 358-3636
Enumeration Date
September 02, 2022
Last Updated
September 02, 2022
Sex
Female
Sole Proprietor
No
Certification Date
August 29, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)