Provider Demographics
NPI:1811232226
Name:ARMSTRONG, JESSICA ELLA
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:ELLA
Last Name:ARMSTRONG
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 1:5478 US ROUTE 8
Mailing Address - Street 2:
Mailing Address - City:CHESTERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:12817-2401
Mailing Address - Country:US
Mailing Address - Phone:518-321-5153
Mailing Address - Fax:
Practice Address - Street 1:5478 US ROUTE 8
Practice Address - Street 2:
Practice Address - City:CHESTERTOWN
Practice Address - State:NY
Practice Address - Zip Code:12817-2401
Practice Address - Country:US
Practice Address - Phone:518-321-5153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist