Provider Demographics
NPI:1124263702
Name:ROUNSVILLE, JERRILYN (RN)
Entity type:Individual
Prefix:MRS
First Name:JERRILYN
Middle Name:
Last Name:ROUNSVILLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6286 MCNEIL RD
Mailing Address - Street 2:
Mailing Address - City:DANSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14437-9588
Mailing Address - Country:US
Mailing Address - Phone:585-243-7290
Mailing Address - Fax:
Practice Address - Street 1:2 COUNTY CAMPUS
Practice Address - Street 2:MURRAY HILL
Practice Address - City:MT. MORRIS
Practice Address - State:NY
Practice Address - Zip Code:14510
Practice Address - Country:US
Practice Address - Phone:585-243-7290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY463897-1163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice