Jennifer Joy Axtell NP

NPI 1346358983 - Nurse Practitioner - 363LW0102X

NPI Details
NPI 1346358983
Gender Female
Enumeration Date 08/25/2006
Last Updated 06/14/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1415 PORTLAND AVE
STE 400
ROCHESTER NY, 14621-3038, US
Phone (585) 922-4200
Fax
Business Location
1415 PORTLAND AVE
STE 400
ROCHESTER NY, 14621-3038, US
Phone (585) 922-4200
Fax
Toxanomy
Taxonomy Code 363LW0102X
License State New York
License Number 420806
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According to our database, Mrs. Jennifer Joy Axtell NP NPI is 1346358983, taxonomy code is 363LW0102X and license number is 420806, license state is located at New York. Jennifer Joy Axtell NP physically located at 1415 Portland Ave, Rochester NY, 14621-3038. NPI Number Jennifer Joy Axtell NP has the Individual type.

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1346358983 NPI number is provided on an as is basis without warranty of any kind. 1346358983 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Joy Axtell NP are for informational purposes only.