National Provider Identifier
Jessica Jenkins
Jessica Jenkins is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Ithaca, NY and a listed phone number of (607) 591-6182.
Profile Overview
- NPI
- 1629385620
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- September 13, 2010
- Last Updated
- September 13, 2010
Practice Location
- 101 Uptown RD Apt 17
- Ithaca, NY 14850-1604
Phone: (607) 591-6182
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1629385620
- Entity Type
- Individual
- Last Name
- Jenkins
- First Name
- Jessica
- Provider Other Last Name
- Desiderio
- Provider Other First Name
- Jessica
- Provider Other Credential Text
- LPN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 101 Uptown RD Apt 17
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1604
- Mailing Country
- US
- Mailing Phone
- (607) 591-6182
- Practice Street Address
- 101 Uptown RD Apt 17
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1604
- Practice Country
- US
- Practice Phone
- (607) 591-6182
- Enumeration Date
- September 13, 2010
- Last Updated
- September 13, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)