Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA ELAINE MINICK
ActiveJESSICA ELAINE MINICK is a Student (Health Education/Training) healthcare provider located in FORT DRUM, New York. NPI 1679283196 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · FORT DRUM, NY
Registration Details
- NPI Number
- 1679283196
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 28, 2022 (3.527118180154 yrs)
- Last Updated
- Apr 17, 2025
Practice Information
- Address
-
11050 MT BELVEDERE BLVDFORT DRUM, NY, 136022603Browse NY providers · Browse ZIP 13602
- Phone
- 8155010015
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in FORT DRUM, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. YADRIANA MARIA KAVITZ | STUDENT | 1033555008 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.