Healthcare Provider Details

I. General information

NPI: 1477866226
Provider Name (Legal Business Name): JACQUELINE M DARROW RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2010
Last Update Date: 07/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4120 BALDWIN RD
RUSHVILLE NY
14544-9738
US

IV. Provider business mailing address

30 CROSS RD
GENEVA NY
14456-9307
US

V. Phone/Fax

Practice location:
  • Phone: 585-554-6492
  • Fax: 585-554-4219
Mailing address:
  • Phone: 585-554-6492
  • Fax: 585-554-4219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number252999-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: