Provider Demographics
NPI:1851645337
Name:STRATTON, JESSICA HEATHER (RN)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:HEATHER
Last Name:STRATTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:HEATHER
Other - Last Name:OUIMET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1710 STATE HIGHWAY 8
Mailing Address - Street 2:
Mailing Address - City:MOUNT UPTON
Mailing Address - State:NY
Mailing Address - Zip Code:13809-4103
Mailing Address - Country:US
Mailing Address - Phone:607-437-8563
Mailing Address - Fax:
Practice Address - Street 1:4238 STATE HIGHWAY 8
Practice Address - Street 2:
Practice Address - City:NEW BERLIN
Practice Address - State:NY
Practice Address - Zip Code:13411-2614
Practice Address - Country:US
Practice Address - Phone:607-847-7500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-05
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY632573163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool