National Provider Identifier

Jacqueline M Gaines

Jacqueline M Gaines is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 290-5025.

NPI 1720384688Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1720384688
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 09, 2011
Last Updated
February 09, 2011

Practice Location

  • 78 Alberta St
  • Rochester, NY 14619-1047

Phone: (585) 290-5025

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1720384688
Entity Type
Individual
Last Name
Gaines
First Name
Jacqueline
Middle Name
M
Mailing Street Address
78 Alberta St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14619-1047
Mailing Country
US
Mailing Phone
(585) 290-5025
Practice Street Address
78 Alberta St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14619-1047
Practice Country
US
Practice Phone
(585) 290-5025
Enumeration Date
February 09, 2011
Last Updated
February 09, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)