Provider Demographics
NPI:1699329946
Name:SWEENEY, JILLIAN SCHIFANO (RN)
Entity type:Individual
Prefix:MRS
First Name:JILLIAN
Middle Name:SCHIFANO
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:JILLIAN
Other - Middle Name:MARIE
Other - Last Name:SCHIFANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:119 SOUTH AVE, WCSD
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580
Mailing Address - Country:US
Mailing Address - Phone:585-216-0000
Mailing Address - Fax:585-265-6561
Practice Address - Street 1:119 SOUTH AVE, WCSD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580
Practice Address - Country:US
Practice Address - Phone:585-216-0000
Practice Address - Fax:585-265-6561
Is Sole Proprietor?:No
Enumeration Date:2019-07-25
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY543191163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool