Doctor Name: | JESSICA ASHLEY IANUZI |
NPI Number: | 1487087425 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 00174954 |
Business Practice Address: | 217 Amber Beach Rd Marietta, NY - 131103259 |
Business Phone Number: | 3152830672 |
Business Fax Number: | |
Mailing Address: | 217 Amber Beach Rd, MARIETTA |
State: | NY |
Postal Code: | 131103259 |
Phone Number: | 3152830672 |
Fax Number: | |
NPI Enumeration Date: | 08/13/2013 |
NPI Last Update Date: | 08/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 374U00000X |
License Number: | 00174954 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Home Health Aide |
Taxonomy Specialization: | |
Taxonomy Definition: | A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |