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Jessica Frazo, PNP
Pediatric Nurse Practitioner in Rushville, New York
NPI 1275695983

Jessica Frazo is a Pediatric Nurse Practitioner based in Rochester, NY and is specialized in Pediatrics. Jessica Frazo practices in Rushville, NY and has the professional credentials of PNP. The NPI Number for Jessica Frazo is 1275695983 and holds a License No. F3326901 (New York).

The current practice location address for Jessica Frazo is 2 Rubin Dr, Rushville, NY and can be reached out via phone at 585-554-4400.

Location: 2 Rubin Dr, Rushville, NY, 14614-1134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275695983
Provider Name
Jessica Frazo
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
2 Rubin Dr, Rushville, NY, 14614-1134
Phone Number
585-554-4400
Fax Number
Provider Enumeration Date
12/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02073605 05 NY
P109381105 01 NY BLUE CROSS
109567DL 01 NY PREFERRED CARE
institution
Provider Business Practice Location Address Details
Address
2 Rubin Dr
City
Rushville
State
New York
Zip
14544-9681
Phone Number
585-554-4400
Fax Number
person
Provider Business Mailing Address Details
Address
2 Rubin Dr
City
Rushville
State
New York
Zip
14544-9681
Phone Number
585-554-4400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
F3326901 (New York)
Definition
Definition to come...
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