National Provider Identifier

Jordyn Samara Axelrod, NP

Jordyn Samara Axelrod, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 406-0267.

NPI 1619656691Rochester, NYFamily Nurse Practitioner

Profile Overview

NPI
1619656691
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
July 17, 2023
Last Updated
February 09, 2024

Practice Location

  • 4901 Lac De Ville Blvd Bldg D
  • Rochester, NY 14618-5647

Phone: (585) 406-0267

Mailing Address

  • 601 Elmwood Ave Box 665
  • Rochester, NY 14642-0001

Specialties

  • Family Nurse Practitioner (363LF0000X)
  • Orthopedic Registered Nurse (163WX0800X)
Full Record
NPI
1619656691
Entity Type
Individual
Last Name
Axelrod
First Name
Jordyn
Middle Name
Samara
Credential
NP
Mailing Street Address
601 Elmwood Ave Box 665
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 275-5321
Practice Street Address
4901 Lac De Ville Blvd Bldg D
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-5647
Practice Country
US
Practice Phone
(585) 406-0267
Enumeration Date
July 17, 2023
Last Updated
February 09, 2024
Sex
Female
Sole Proprietor
No
Certification Date
February 09, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X), Orthopedic Registered Nurse (163WX0800X)