National Provider Identifier

Jennifer Thomas

Jennifer Thomas is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Fairport, NY and a listed phone number of (585) 794-0381.

NPI 1427410257Fairport, NYLicensed Practical Nurse

Profile Overview

NPI
1427410257
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 22, 2016
Last Updated
March 22, 2016

Practice Location

  • 19 Orchard St
  • Fairport, NY 14450-2515

Phone: (585) 794-0381

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1427410257
Entity Type
Individual
Last Name
Thomas
First Name
Jennifer
Provider Other Last Name
Mintz
Provider Other First Name
Jennifer
Provider Other Last Name Type Code
1
Mailing Street Address
19 Orchard St
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-2515
Mailing Country
US
Mailing Phone
(585) 794-0381
Practice Street Address
19 Orchard St
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-2515
Practice Country
US
Practice Phone
(585) 794-0381
Enumeration Date
March 22, 2016
Last Updated
March 22, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)