National Provider Identifier

Latisha Jennings

Latisha Jennings is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (716) 235-1198.

NPI 1629650346Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1629650346
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 22, 2021
Last Updated
April 22, 2021

Practice Location

  • 226 Thurston RD
  • Rochester, NY 14619-1528

Phone: (716) 235-1198

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1629650346
Entity Type
Individual
Last Name
Jennings
First Name
Latisha
Mailing Street Address
226 Thurston RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14619-1528
Mailing Country
US
Practice Street Address
226 Thurston RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14619-1528
Practice Country
US
Practice Phone
(716) 235-1198
Enumeration Date
April 22, 2021
Last Updated
April 22, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
April 22, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)