National Provider Identifier

Jonathan Mark Jezioro, NP

Jonathan Mark Jezioro, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 427-7760.

NPI 1992435176Rochester, NYFamily Nurse Practitioner

Profile Overview

NPI
1992435176
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
June 12, 2022
Last Updated
June 12, 2022

Practice Location

  • 2021 Winton RD S
  • Rochester, NY 14618-3998

Phone: (585) 427-7760

Mailing Address

  • 39 Spicewood Ln
  • Rochester, NY 14624-3749

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1992435176
Entity Type
Individual
Last Name
Jezioro
First Name
Jonathan
Middle Name
Mark
Credential
NP
Mailing Street Address
39 Spicewood Ln
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-3749
Mailing Country
US
Mailing Phone
(716) 574-9536
Practice Street Address
2021 Winton RD S
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-3998
Practice Country
US
Practice Phone
(585) 427-7760
Enumeration Date
June 12, 2022
Last Updated
June 12, 2022
Sex
Male
Sole Proprietor
No
Certification Date
June 12, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)