Jennifer Rossi, RN
Individual provider Active NPI Medical-Surgical Registered Nurse · Stanley, NY
NPI 1205213675 · NPPES record last updated May 5, 2015
Key facts
- NPI
- 1205213675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical-Surgical Registered Nurse 163WM0705X
- License
- 662676 (NY)
- Practice address
- 4107 Short Rd
Stanley, NY 14561-9504 - Phone
- (585) 683-9679
- NPI assigned
- May 5, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 662676 | NY | MD | Medical-Surgical Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 662676 | NY | Yes |
Addresses
Primary practice location
4107 Short Rd
Stanley, NY 14561-9504
Mailing address
4107 Short Rd
Stanley, NY 14561
Phone (585) 683-9679
Other providers in Stanley, NY
- Ellen Pavlacka
- Play Grow Learn LLC
- Katie Ann-Marie Proctor-Velez
- Gail G. Propester
- Laura Louise Purpura
- Malinda Marie Smart
- Denise Marie Tyler
- Jennifer Marie Webster
- Tina A Webster
All providers in Stanley, NY · Medical-Surgical Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2015. 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.