Otis, Jessica R

Otis, Jessica R is an individual health care provider with primary practice located at 7573 State Route 54 , Bath NY 14810-9504. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Otis, Jessica R can be contacted via phone (607) 776-2247.

Contact Information

Primary practice address
7573 State Route 54 Bath NY 14810-9504
Phone: (607) 776-2247
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 347851 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 347851 New York

Profile Details

NPI number 1255004727
LBN Legal business name Otis, Jessica R
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2021
Last updated Aug 30th, 2023 - about 3 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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