National Provider Identifier
Jasmine Daja Shannay Vick
Jasmine Daja Shannay Vick is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 413-6127.
Profile Overview
- NPI
- 1568060705
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 10, 2020
- Last Updated
- October 10, 2020
Practice Location
- 619 Arnett Blvd
- Rochester, NY 14619-1308
Phone: (585) 413-6127
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1568060705
- Entity Type
- Individual
- Last Name
- Vick
- First Name
- Jasmine
- Middle Name
- Daja Shannay
- Mailing Street Address
- 619 Arnett Blvd
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14619-1308
- Mailing Country
- US
- Mailing Phone
- (585) 413-6127
- Practice Street Address
- 619 Arnett Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14619-1308
- Practice Country
- US
- Practice Phone
- (585) 413-6127
- Enumeration Date
- October 10, 2020
- Last Updated
- October 10, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 10, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)