Individual provider · Type 1 NPI

Jessica R. Rothberg

Psychiatric/Mental Health Nurse Practitioner · Oswego, NY

NPI number 1346836392 Active

Practice location

29 E Cayuga St
Oswego, NY 13126-1241

Fax (315) 326-4290

Mailing address

110 W 6th St
Oswego, NY 13126-2507

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X407134 (NY)
Social Worker 104100000XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1346836392

Jessica R. Rothberg's National Provider Identifier is 1346836392, issued on Dec 14, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Oswego, NY. The record was last updated on Jun 29, 2025.