Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 38381903 | NY |
NPI | 1033557970 |
---|---|
Provider Name | Mrs. Jessica Lynn Dunne |
First Address | Rochester, NY 14617-5504 |
Second Address | Rochester, NY 14642-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2013 |
Last Update Date | 11/04/2019 |