National Provider Identifier

Jill Reidy, NP

Jill Reidy, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Horseheads, NY and a listed phone number of (607) 795-2828.

NPI 1518245554Horseheads, NYFamily Nurse Practitioner

Profile Overview

NPI
1518245554
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
July 25, 2011
Last Updated
October 03, 2016

Practice Location

  • 100 John Roemmelt Dr
  • Suite 204
  • Horseheads, NY 14845-8301

Phone: (607) 795-2828

Mailing Address

  • 571 Saint Josephs Blvd
  • 2Nd Floor
  • Elmira, NY 14901-3230

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1518245554
Entity Type
Individual
Last Name
Reidy
First Name
Jill
Credential
NP
Mailing Street Address
571 Saint Josephs Blvd
Mailing Address Line 2
2Nd Floor
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3230
Mailing Country
US
Mailing Phone
(607) 271-2050
Practice Street Address
100 John Roemmelt Dr
Practice Address Line 2
Suite 204
Practice City
Horseheads
Practice State
NY
Practice ZIP Code
14845-8301
Practice Country
US
Practice Phone
(607) 795-2828
Practice Fax
(607) 795-2829
Enumeration Date
July 25, 2011
Last Updated
October 03, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)
Other Identifiers
03368265 (NY)