Provider Demographics
NPI:1285035477
Name:FLOYD, PEARLIE JANE
Entity Type:Individual
Prefix:MRS
First Name:PEARLIE
Middle Name:JANE
Last Name:FLOYD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 EVANGELINE ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14619-2033
Mailing Address - Country:US
Mailing Address - Phone:585-753-5077
Mailing Address - Fax:585-753-5025
Practice Address - Street 1:57 EVANGELINE ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14619-2033
Practice Address - Country:US
Practice Address - Phone:585-753-5077
Practice Address - Fax:585-753-5025
Is Sole Proprietor?:No
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY343283-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse