National Provider Identifier

Jenna Menear

Jenna Menear is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Brockport, NY and a listed phone number of (585) 233-0481.

NPI 1497291488Brockport, NYLicensed Practical Nurse

Profile Overview

NPI
1497291488
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 13, 2017
Last Updated
January 13, 2017

Practice Location

  • 7528 W Ridge RD
  • Brockport, NY 14420-9429

Phone: (585) 233-0481

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1497291488
Entity Type
Individual
Last Name
Menear
First Name
Jenna
Provider Other Last Name
Menear
Provider Other First Name
Jennifer
Provider Other Last Name Type Code
2
Mailing Street Address
7528 W Ridge RD
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-9429
Mailing Country
US
Mailing Phone
(585) 233-0481
Practice Street Address
7528 W Ridge RD
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-9429
Practice Country
US
Practice Phone
(585) 233-0481
Enumeration Date
January 13, 2017
Last Updated
January 13, 2017
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)