National Provider Identifier

Tessa Nicole Smith, LPN

Tessa Nicole Smith, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 426-5684.

NPI 1457636573Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1457636573
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 20, 2011
Last Updated
June 21, 2021

Practice Location

  • 15 Ainsworth Ln
  • Rochester, NY 14624-2229

Phone: (585) 426-5684

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1457636573
Entity Type
Individual
Last Name
Smith
First Name
Tessa
Middle Name
Nicole
Name Prefix
Mrs.
Credential
LPN
Mailing Street Address
15 Ainsworth Ln
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-2229
Mailing Country
US
Mailing Phone
(585) 426-5684
Practice Street Address
15 Ainsworth Ln
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624-2229
Practice Country
US
Practice Phone
(585) 426-5684
Enumeration Date
October 20, 2011
Last Updated
June 21, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
June 21, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)