National Provider Identifier
Jessie Myrick, L.AC., DIPL.O.M.
Jessie Myrick, L.AC., DIPL.O.M. is listed in the NPPES registry with a primary specialty of Acupuncturist in Ithaca, NY and a listed phone number of (520) 445-5524.
Profile Overview
- NPI
- 1962121731
- Provider Type
- Individual
- Primary Specialty
- Acupuncturist
- Enumeration Date
- August 25, 2022
- Last Updated
- August 25, 2022
Practice Location
- 407 Taughannock Blvd Ste E
- Ithaca, NY 14850-3252
Phone: (520) 445-5524
Mailing Address
- 3984 Seneca RD
- Hector, NY 14841-9604
Specialties
- Acupuncturist (171100000X)
Full Record
- NPI
- 1962121731
- Entity Type
- Individual
- Last Name
- Myrick
- First Name
- Jessie
- Credential
- L.AC., DIPL.O.M.
- Mailing Street Address
- 3984 Seneca RD
- Mailing City
- Hector
- Mailing State
- NY
- Mailing ZIP Code
- 14841-9604
- Mailing Country
- US
- Mailing Phone
- (520) 445-5524
- Practice Street Address
- 407 Taughannock Blvd Ste E
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3252
- Practice Country
- US
- Practice Phone
- (520) 445-5524
- Enumeration Date
- August 25, 2022
- Last Updated
- August 25, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 25, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Acupuncturist (171100000X)