Jennifer Mastin, RN
Registered Nurse in Walworth, NY. Individual provider (NPI-1).
NPI number1114348455
StatusActive
Last updated in NPPESNov 6, 2023
Details
- NPI
- 1114348455
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Mastin
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 3, 2014
- Certification date
- Nov 6, 2023
- Last updated
- Nov 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 55341-1 | NY | Yes |
Practice location
3757 Orchard StWalworth, NY 14568-9336
Phone 585-278-8136
Mailing address
3757 Orchard StWalworth, NY 14568-9336
Phone 585-278-8136
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