Individual provider · Type 1 NPI
Jennifer L. Driessen
Adult Health Nurse Practitioner · Fairport, NY
NPI number
1134718638
Active
Practice location
100 Saint Camillus Way
Fairport, NY 14450-8500
Mailing address
5948 Calm Lake Dr
Farmington, NY 14425-8949
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 309959 (NY) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
Other adult health nurse practitioner providers in Fairport
About NPI 1134718638
Jennifer L. Driessen's National Provider Identifier is 1134718638, issued on Jan 11, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Fairport, NY. The record was last updated on Jan 11, 2021.