National Provider Identifier

Janis Michele Jepsen, SPECIAL EDUCATION TE

Janis Michele Jepsen, SPECIAL EDUCATION TE is listed in the NPPES registry with a primary specialty of Specialist in Penn Yan, NY and a listed phone number of (315) 536-5160.

NPI 1912241555Penn Yan, NYSpecialist

Profile Overview

NPI
1912241555
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
November 20, 2012
Last Updated
March 28, 2013

Practice Location

  • 417 Liberty Street Suite 2120
  • Penn Yan, NY 14527

Phone: (315) 536-5160

Mailing Address

  • 3783 County House Road
  • Penn Yan, NY 14527-8963

Specialties

  • Specialist (174400000X)
Full Record
NPI
1912241555
Entity Type
Individual
Last Name
Jepsen
First Name
Janis
Middle Name
Michele
Name Prefix
MS.
Credential
SPECIAL EDUCATION TE
Mailing Street Address
3783 County House Road
Mailing City
Penn Yan
Mailing State
NY
Mailing ZIP Code
14527-8963
Mailing Country
US
Mailing Phone
(315) 719-3888
Practice Street Address
417 Liberty Street Suite 2120
Practice City
Penn Yan
Practice State
NY
Practice ZIP Code
14527
Practice Country
US
Practice Phone
(315) 536-5160
Practice Fax
(315) 536-5146
Enumeration Date
November 20, 2012
Last Updated
March 28, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)