Provider Demographics
NPI:1215246962
Name:DAY, JEANMARY R (RN)
Entity type:Individual
Prefix:MRS
First Name:JEANMARY
Middle Name:R
Last Name:DAY
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 1:40 ALLEN ST
Mailing Address - Street 2:BARCLAY SCHOOL
Mailing Address - City:BROCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14420-2228
Mailing Address - Country:US
Mailing Address - Phone:585-637-1842
Mailing Address - Fax:
Practice Address - Street 1:40 ALLEN ST
Practice Address - Street 2:BARCLAY SCHOOL
Practice Address - City:BROCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14420-2228
Practice Address - Country:US
Practice Address - Phone:585-637-1842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-29
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY407175163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool