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Rebecca Susan Pettibone, NP
Nurse Practitioner in Elmira, New York
NPI 1205574316

Rebecca Susan Pettibone is a Nurse Practitioner based in Elmira, NY. Rebecca Susan Pettibone practices in Elmira, NY and has the professional credentials of NP. The NPI Number for Rebecca Susan Pettibone is 1205574316 and holds a License No. 310746 (New York).

The current practice location address for Rebecca Susan Pettibone is 555 Saint Josephs Blvd Ste M2, Elmira, NY and can be reached out via phone at 607-734-7121 and via fax at 607-734-0614.

Location: 555 Saint Josephs Blvd Ste M2, Elmira, NY, 14901-3230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205574316
Provider Name
Rebecca Susan Pettibone
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
555 Saint Josephs Blvd Ste M2, Elmira, NY, 14901-3230
Phone Number
607-734-7121
Fax Number
607-734-0614
Provider Enumeration Date
05/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
555 Saint Josephs Blvd Ste M2
City
Elmira
State
New York
Zip
14901-3223
Phone Number
607-734-7121
Fax Number
607-734-0614
person
Provider Business Mailing Address Details
Address
555 Saint Josephs Blvd Ste M2
City
Elmira
State
New York
Zip
14901-3223
Phone Number
607-734-7121
Fax Number
607-734-0614
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
310746 (New York)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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