National Provider Identifier

Jessica Lynn Villa, LPN

Jessica Lynn Villa, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Ontario, NY and a listed phone number of (585) 797-8980.

NPI 1912333717Ontario, NYLicensed Practical Nurse

Profile Overview

NPI
1912333717
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
September 25, 2013
Last Updated
October 31, 2018

Practice Location

  • 6094 Trillium Trl
  • Ontario, NY 14519-8614

Phone: (585) 797-8980

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1912333717
Entity Type
Individual
Last Name
Villa
First Name
Jessica
Middle Name
Lynn
Credential
LPN
Mailing Street Address
6094 Trillium Trl
Mailing City
Ontario
Mailing State
NY
Mailing ZIP Code
14519-8614
Mailing Country
US
Mailing Phone
(585) 797-8980
Practice Street Address
6094 Trillium Trl
Practice City
Ontario
Practice State
NY
Practice ZIP Code
14519-8614
Practice Country
US
Practice Phone
(585) 797-8980
Enumeration Date
September 25, 2013
Last Updated
October 31, 2018
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)