Jessica Connolly
Licensed Practical Nurse in Rochester, NY. Individual provider (NPI-1).
NPI number1255693255
StatusActive
Last updated in NPPESJun 14, 2012
Details
- NPI
- 1255693255
- Entity type
- Individual (NPI-1)
- Name
- Miss Jessica Connolly
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 14, 2012
- Last updated
- Jun 14, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 280206-1 | NY | Yes |
Practice location
443 Lowden Point RdRochester, NY 14612-1221
Phone 585-360-8272
Mailing address
443 Lowden Point RdRochester, NY 14612-1221
Phone 585-360-8272
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 1,864 Licensed Practical Nurse providers in Rochester · All 22,972 providers in Rochester
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