National Provider Identifier

Jennie Catherine Vegard, NURSE PRACTITIONER

Jennie Catherine Vegard, NURSE PRACTITIONER is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Canandaigua, NY and a listed phone number of (585) 393-7784.

NPI 1982643813Canandaigua, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1982643813
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
June 06, 2006
Last Updated
July 08, 2007

Practice Location

  • 400 Fort Hill Ave
  • Canandaigua, NY 14424-1159

Phone: (585) 393-7784

Mailing Address

  • 5090 Parrish Street Ext
  • Canandaigua, NY 14424-9178

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)
Full Record
NPI
1982643813
Entity Type
Individual
Last Name
Vegard
First Name
Jennie
Middle Name
Catherine
Credential
NURSE PRACTITIONER
Mailing Street Address
5090 Parrish Street Ext
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-9178
Mailing Country
US
Mailing Phone
(585) 393-7784
Mailing Fax
(585) 393-8334
Practice Street Address
400 Fort Hill Ave
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1159
Practice Country
US
Practice Phone
(585) 393-7784
Practice Fax
(585) 393-8334
Enumeration Date
June 06, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X)