MRS. JESSICA MARA BRAULT


Address: 249 Totem Trl, Rochester, NY 14617-2473
Phone: 5854557383

MRS. JESSICA MARA BRAULT (NPI# 1023572393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023572393
Entity Type Individual
Full Name MRS. JESSICA MARA BRAULT
Credential RN
Practice Address 249 Totem Trl
Rochester
NY 14617-2473
Practice Telephone 5854557383
Enumeration Date 2019-01-30
Last Update Date 2019-01-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0200X Registered Nurse
Specialization: Pediatrics
483727 NY Nursing Service Providers

Office Location

Street Address 249 TOTEM TRL
City ROCHESTER
State NY
Zip Code 14617-2473

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1043585599 Shannon Nichole Fridd Speech-Language Pathologist 350 Cooper Rd., Rochester, NY 14617 2012-03-16
1861777112 Todd M Schoen Pharmacist 525 Titus Avenue, Rochester, NY 14617 2011-10-19
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Taxonomy Information

Taxonomy Code 163WP0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164023909 Joshua Ryan Fox Registered Nurse 97 Lianne Dr, Rochester, NY 14626-5337 2020-11-06
1881209252 Emily Francesca Registered Nurse 80 Corona Rd, Rochester, NY 14615-2643 2020-09-12
1033727649 Samantha Ashley Hedges Registered Nurse 3 Mountain Ln Apt 3c, Rochester, NY 14625-2502 2020-07-20
1255968087 Anna Marie Marcy Registered Nurse 44 Dundas Dr, Rochester, NY 14625-1369 2020-03-23
1225594443 Raleigh Galbraith Registered Nurse 95 Dartmouth St Apt 2, Rochester, NY 14607-2842 2019-02-12
1518317478 Christina Altobello Registered Nurse 93 Essla Dr, Rochester, NY 14612-2228 2016-06-21
1467830521 Canaverell Sullivan Registered Nurse 1047 Emerson St Apt D, Rochester, NY 14606-2744 2015-05-09
1346667979 Sarah Miller Registered Nurse 120 Woodcroft Dr, Rochester, NY 14616-1421 2014-03-20
1225260516 Jennifer Kuhn Registered Nurse 57 Park Ave, Rochester, NY 14606-3816 2009-08-20
1003094863 Barbara J Knope Registered Nurse 128 Greystone Ln Apt 10, Rochester, NY 14618-4917 2008-02-04
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Competitor

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City ROCHESTER
Zip Code 14617

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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