National Provider Identifier

Jenna Nickerson, NP

Jenna Nickerson, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Horseheads, NY and a listed phone number of (607) 973-8000.

NPI 1639041734Horseheads, NYFamily Nurse Practitioner

Profile Overview

NPI
1639041734
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
September 19, 2025
Last Updated
September 19, 2025

Practice Location

  • 3344 Chambers RD
  • Horseheads, NY 14845-1403

Phone: (607) 973-8000

Mailing Address

  • 226 Fairfield Dr
  • Horseheads, NY 14845-2286

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1639041734
Entity Type
Individual
Last Name
Nickerson
First Name
Jenna
Credential
NP
Mailing Street Address
226 Fairfield Dr
Mailing City
Horseheads
Mailing State
NY
Mailing ZIP Code
14845-2286
Mailing Country
US
Practice Street Address
3344 Chambers RD
Practice City
Horseheads
Practice State
NY
Practice ZIP Code
14845-1403
Practice Country
US
Practice Phone
(607) 973-8000
Enumeration Date
September 19, 2025
Last Updated
September 19, 2025
Sex
Female
Sole Proprietor
No
Certification Date
September 19, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)