National Provider Identifier

Jessica L McDermott, FNP

Jessica L McDermott, FNP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Painted Post, NY and a listed phone number of (607) 936-2089.

NPI 1841671880Painted Post, NYNurse Practitioner

Profile Overview

NPI
1841671880
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
June 16, 2015
Last Updated
November 25, 2020

Practice Location

  • 418 S Hamilton St Ste 109A
  • Painted Post, NY 14870-9705

Phone: (607) 936-2089

Mailing Address

  • 571 Saint Josephs Blvd Fl 2
  • Elmira, NY 14901-3230

Specialties

  • Nurse Practitioner (363L00000X)
  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1841671880
Entity Type
Individual
Last Name
McDermott
First Name
Jessica
Middle Name
L
Credential
FNP
Mailing Street Address
571 Saint Josephs Blvd Fl 2
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3230
Mailing Country
US
Mailing Phone
(607) 271-2050
Mailing Fax
(607) 873-1244
Practice Street Address
418 S Hamilton St Ste 109A
Practice City
Painted Post
Practice State
NY
Practice ZIP Code
14870-9705
Practice Country
US
Practice Phone
(607) 936-2089
Practice Fax
(607) 936-8176
Enumeration Date
June 16, 2015
Last Updated
November 25, 2020
Sex
Female
Sole Proprietor
No
Certification Date
November 25, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X), Family Nurse Practitioner (363LF0000X)
Other Identifiers
04273185 (NY)