National Provider Identifier

Jenifer R Wheaton, MSED

Jenifer R Wheaton, MSED is listed in the NPPES registry with a primary specialty of Specialist in Victor, NY and a listed phone number of (585) 924-7207.

NPI 1629639083Victor, NYSpecialist

Profile Overview

NPI
1629639083
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 26, 2019
Last Updated
June 26, 2019

Practice Location

  • 590 Fishers Station Dr Ste 130
  • Victor, NY 14564-9744

Phone: (585) 924-7207

Mailing Address

  • 1 Schoolmaster Cir
  • Fairport, NY 14450-8433

Specialties

  • Specialist (174400000X)
Full Record
NPI
1629639083
Entity Type
Individual
Last Name
Wheaton
First Name
Jenifer
Middle Name
R
Name Prefix
MS.
Credential
MSED
Provider Other Last Name
Greeno
Provider Other First Name
Jenifer
Provider Other Middle Name
R
Provider Other Name Prefix Text
MS.
Provider Other Last Name Type Code
1
Mailing Street Address
1 Schoolmaster Cir
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-8433
Mailing Country
US
Mailing Phone
(585) 739-4716
Practice Street Address
590 Fishers Station Dr Ste 130
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-9744
Practice Country
US
Practice Phone
(585) 924-7207
Enumeration Date
June 26, 2019
Last Updated
June 26, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)