National Provider Identifier
Jessica Damaris Cruz
Jessica Damaris Cruz is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 664-9895.
Profile Overview
- NPI
- 1720709033
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- September 06, 2022
- Last Updated
- September 06, 2022
Practice Location
- 1109 Bay St
- Rochester, NY 14609-4825
Phone: (585) 664-9895
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1720709033
- Entity Type
- Individual
- Last Name
- Cruz
- First Name
- Jessica
- Middle Name
- Damaris
- Mailing Street Address
- 1109 Bay St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-4825
- Mailing Country
- US
- Practice Street Address
- 1109 Bay St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609-4825
- Practice Country
- US
- Practice Phone
- (585) 664-9895
- Enumeration Date
- September 06, 2022
- Last Updated
- September 06, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 06, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)