| Doctor Name: | JESSA IRENE DAURIA |
| NPI Number: | 1013244722 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | AP60116854 |
| Business Practice Address: | 217 N Aurora St Ithaca, NY - 148504345 |
| Business Phone Number: | 6072732811 |
| Business Fax Number: | |
| Mailing Address: | 218 S Albany St, Apt 2 ITHACA |
| State: | NY |
| Postal Code: | 148505404 |
| Phone Number: | 2067242305 |
| Fax Number: | |
| NPI Enumeration Date: | 11/17/2009 |
| NPI Last Update Date: | 01/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | AP60116854 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |