National Provider Identifier

Jessica Erin Mahaney

Jessica Erin Mahaney is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 454-3550.

NPI 1629944087Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1629944087
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 14, 2025
Last Updated
October 14, 2025

Practice Location

  • 150 State St
  • Rochester, NY 14614-1353

Phone: (585) 454-3550

Mailing Address

  • 25 Ironstone Dr
  • Rochester, NY 14624-4702

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1629944087
Entity Type
Individual
Last Name
Mahaney
First Name
Jessica
Middle Name
Erin
Mailing Street Address
25 Ironstone Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-4702
Mailing Country
US
Mailing Phone
(585) 454-3550
Practice Street Address
150 State St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14614-1353
Practice Country
US
Practice Phone
(585) 454-3550
Enumeration Date
October 14, 2025
Last Updated
October 14, 2025
Sex
Female
Sole Proprietor
No
Certification Date
October 14, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)