Provider Demographics
NPI:1871947655
Name:GIANNI, JESSICA A (LPN)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:A
Last Name:GIANNI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:JESSICA
Other - Middle Name:A
Other - Last Name:MCLAUGHLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25 TAPPAN ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-2315
Mailing Address - Country:US
Mailing Address - Phone:315-409-8788
Mailing Address - Fax:
Practice Address - Street 1:25 TAPPAN ST APT 1
Practice Address - Street 2:
Practice Address - City:BALDWINSVILLE
Practice Address - State:NY
Practice Address - Zip Code:13027-2315
Practice Address - Country:US
Practice Address - Phone:315-409-8788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-19
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY315316164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse