National Provider Identifier

Jessica Amanda Carrier

Jessica Amanda Carrier is listed in the NPPES registry with a primary specialty of Registered Nurse in Walworth, NY and a listed phone number of (585) 710-3112.

NPI 1669336210Walworth, NYRegistered Nurse

Profile Overview

NPI
1669336210
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
December 09, 2025
Last Updated
December 09, 2025

Practice Location

  • 2654 Walworth RD
  • Walworth, NY 14568-9601

Phone: (585) 710-3112

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1669336210
Entity Type
Individual
Last Name
Carrier
First Name
Jessica
Middle Name
Amanda
Mailing Street Address
2654 Walworth RD
Mailing City
Walworth
Mailing State
NY
Mailing ZIP Code
14568-9601
Mailing Country
US
Practice Street Address
2654 Walworth RD
Practice City
Walworth
Practice State
NY
Practice ZIP Code
14568-9601
Practice Country
US
Practice Phone
(585) 710-3112
Enumeration Date
December 09, 2025
Last Updated
December 09, 2025
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193200000X Multi-Specialty Group
Certification Date
December 09, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)