National Provider Identifier

Jessica Danielle Madison, LPN

Jessica Danielle Madison, 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) 354-4294.

NPI 1558989244Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1558989244
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
July 08, 2020
Last Updated
July 08, 2020

Practice Location

  • 176 N Water St Apt 606
  • Rochester, NY 14604-1182

Phone: (585) 354-4294

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1558989244
Entity Type
Individual
Last Name
Madison
First Name
Jessica
Middle Name
Danielle
Credential
LPN
Mailing Street Address
176 N Water St Apt 606
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14604-1182
Mailing Country
US
Mailing Phone
(585) 354-4294
Practice Street Address
176 N Water St Apt 606
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14604-1182
Practice Country
US
Practice Phone
(585) 354-4294
Enumeration Date
July 08, 2020
Last Updated
July 08, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
July 08, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)