Jessa Irene Dauria
Nurse Practitioner - Adult Health
217 N Aurora St
Ithaca
, New York 14850-4345
Jessa Irene Dauria
Nurse Practitioner - Adult Health
217 N Aurora St
Ithaca
, New York 14850-4345
(206) 724-2305
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Jessa Irene Dauria
- 218 S Albany St Apt 2
- Ithaca, NY
- Zip : 14850-5404
- Phone : (206) 724-2305
Second Address
- Jessa Irene Dauria
- 217 N Aurora St
- Ithaca, NY
- Zip : 14850-4345
- Phone : (607) 273-2811
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | AP60116854 | WA |
National Provider Identifier
| NPI | 1013244722 |
|---|---|
| Provider Name | Jessa Irene Dauria |
| First Address | Ithaca, NY 14850-5404 |
| Second Address | Ithaca, NY 14850-4345 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/11/2009 |
| Last Update Date | 07/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 9664202 | (05) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.