Maddison, Jennifer

Maddison, Jennifer is an individual health care provider with primary practice located at 601 Elmwood Ave Box Surg, Rochester NY 14642-8410. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Maddison, Jennifer can be contacted via phone (585) 275-4435.

Contact Information

Primary practice address
601 Elmwood Ave Box Surg Rochester NY 14642-8410
Phone: (585) 275-4435
Fax: (585) 276-2370
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X F381250 New York

Profile Details

NPI number 1679671424
LBN Legal business name Maddison, Jennifer
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 8th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679671424 NPPES
New York MEDICAID 03274095

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