National Provider Identifier

Michelle Jason

Michelle Jason is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Sodus, NY and a listed phone number of (315) 483-1199.

NPI 1659820199Sodus, NYLicensed Practical Nurse

Profile Overview

NPI
1659820199
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
September 26, 2016
Last Updated
September 26, 2016

Practice Location

  • 6692 Middle RD
  • Suite 2100
  • Sodus, NY 14551-9602

Phone: (315) 483-1199

Mailing Address

  • 14 Maiden Ln
  • Penn Yan, NY 14527-1208

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1659820199
Entity Type
Individual
Last Name
Jason
First Name
Michelle
Mailing Street Address
14 Maiden Ln
Mailing City
Penn Yan
Mailing State
NY
Mailing ZIP Code
14527-1208
Mailing Country
US
Mailing Phone
(315) 531-9102
Mailing Fax
(315) 531-9103
Practice Street Address
6692 Middle RD
Practice Address Line 2
Suite 2100
Practice City
Sodus
Practice State
NY
Practice ZIP Code
14551-9602
Practice Country
US
Practice Phone
(315) 483-1199
Practice Fax
(315) 483-2451
Enumeration Date
September 26, 2016
Last Updated
September 26, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
283665 (NY, License)