Jennifer Edick
Individual provider Active NPI Health Educator · Lowville, NY
NPI 1053165704 · NPPES record last updated Apr 17, 2024
Key facts
- NPI
- 1053165704
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Educator 174H00000X
- Practice address
- 7785 N State St Ste 2
Lowville, NY 13367-1229 - Phone
- (315) 376-5453
- Fax
- (315) 376-7013
- NPI assigned
- Apr 17, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Yes |
Addresses
Primary practice location
7785 N State St Ste 2
Lowville, NY 13367-1229
Mailing address
7785 N State St Ste 2
Lowville, NY 13367-1229
Phone (315) 376-5453
Other providers in Lowville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.