Dauria, Jessa Irene

Dauria, Jessa Irene is an individual health care provider with primary practice located at 217 N Aurora St , Ithaca NY 14850-4345. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Dauria, Jessa Irene can be contacted via phone (607) 273-2811.

Contact Information

Primary practice address
217 N Aurora St Ithaca NY 14850-4345
Phone: (607) 273-2811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP60116854 Washington

Profile Details

NPI number 1013244722
LBN Legal business name Dauria, Jessa Irene
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2009
Last updated Jan 7th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013244722 NPPES
Washington MEDICAID 9664202

Popular Providers