National Provider Identifier

Jennifer Diaz, LPN

Jennifer Diaz, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 755-8494.

NPI 1669730792Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1669730792
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 26, 2012
Last Updated
August 12, 2022

Practice Location

  • 2429 Culver RD
  • Rochester, NY 14609-1745

Phone: (585) 755-8494

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1669730792
Entity Type
Individual
Last Name
Diaz
First Name
Jennifer
Credential
LPN
Mailing Street Address
2429 Culver RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-1745
Mailing Country
US
Mailing Phone
(585) 755-8494
Practice Street Address
2429 Culver RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-1745
Practice Country
US
Practice Phone
(585) 755-8494
Enumeration Date
April 26, 2012
Last Updated
August 12, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
August 12, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
1669730792 (NY)