Provider Demographics
NPI:1720591688
Name:FERRAINA, JANE S (FNP)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:S
Last Name:FERRAINA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 BOUGHTON HILL RD
Mailing Address - Street 2:
Mailing Address - City:HONEOYE FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14472-9706
Mailing Address - Country:US
Mailing Address - Phone:585-615-3901
Mailing Address - Fax:
Practice Address - Street 1:259 BOUGHTON HILL RD
Practice Address - Street 2:
Practice Address - City:HONEOYE FALLS
Practice Address - State:NY
Practice Address - Zip Code:14472-9706
Practice Address - Country:US
Practice Address - Phone:585-615-3901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-14
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF330746-1207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine