Provider Demographics
NPI:1598119182
Name:ATKINS, JESSIE ANNE (DO)
Entity Type:Individual
Prefix:
First Name:JESSIE
Middle Name:ANNE
Last Name:ATKINS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JESSIE
Other - Middle Name:ANNE
Other - Last Name:REINHARDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2187 DAVIS RD
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:NY
Mailing Address - Zip Code:14830-9405
Mailing Address - Country:US
Mailing Address - Phone:740-357-8390
Mailing Address - Fax:
Practice Address - Street 1:130 CENTER WAY
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:NY
Practice Address - Zip Code:14830-2287
Practice Address - Country:US
Practice Address - Phone:607-973-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-20
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY301635207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine