Healthcare Provider Details

I. General information

NPI: 1326085598
Provider Name (Legal Business Name): CATHERINE ANN JANKOWSKI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 12/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MERIDIAN CENTRE BLVD STE 320
ROCHESTER NY
14618-3981
US

IV. Provider business mailing address

1009 WINDCROSS CT STE 101
FRANKLIN TN
37067-2678
US

V. Phone/Fax

Practice location:
  • Phone: 615-224-5438
  • Fax: 855-247-8787
Mailing address:
  • Phone: 615-224-5438
  • Fax: 855-247-8787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF304138
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: