MEDICARE: JIMILAH SHEREE MCKINNON R.N.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	673959	NY

General Provider Information

NPI Number	:	1194138156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIMILAH SHEREE MCKINNON R.N.

Provider Business Mailing Address
First Line	:	154 GENESEE PARK BLVD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14619-2406
Country	:	US
Telephone Number	:	585-957-0107
Fax Number	:

Provider Business Practice Location Address
First Line	:	154 GENESEE PARK BLVD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14619-2406
Country	:	US
Telephone Number	:	585-957-0107
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2014
Last Update Date	:	06/07/2014

Similar Medicare Providers

1881069847 — SHARESE REED LPN, RN
Practice Location Address:

158 GENESEE PARK BLVD
ROCHESTER, NY
14619-2406

Practice Phone: 585-350-6498
Practice Fax:

1205804044 — DR. MICHAEL C. GUERNSEY D.C.
Practice Location Address:

675 PANORAMA TRL , SUITE #5
ROCHESTER, NY
14625-2406

Practice Phone: 585-383-0420
Practice Fax: 800-581-7735

1497838452 — DR. DENNIS J. DONAHER D.M.D.
Practice Location Address:

675 PANORAMA TRL , SUITE 11
ROCHESTER, NY
14625-2406

Practice Phone: 585-586-3290
Practice Fax:

1477839223 — DR. TRICA L. PETERSON PH.D.
Practice Location Address:

675 PANORAMA TRL W , SUITE 12
ROCHESTER, NY
14625-2406

Practice Phone: 585-563-8284
Practice Fax:

1760753560 — BETHANY RUTH LOCKHART LCSW
Practice Location Address:

85 HILLSIDE AVE
ROCHESTER, NY
14610-2406

Practice Phone: 585-262-8830
Practice Fax:

1699026294 — KRISTEN CLEMONTS LPN
Practice Location Address:

396 WARING RD
ROCHESTER, NY
14609-2406

Practice Phone: 585-351-7962
Practice Fax:

Directions to “ JIMILAH SHEREE MCKINNON R.N.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.