Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jean Elizabeth Mack-Fogg

Individual provider Pediatric Nurse Practitioner · NPI 1023048600

Jean Elizabeth Mack-Fogg is a Pediatric Nurse Practitioner in Rochester, New York. Works from 2 locations. Licensed in Connecticut and New York.

Licensed in
CT, NY
In the registry since
2006
Specialties on file
2

Practice location Address checks out

601 Elmwood Ave
Rochester, NY 14642
Phone: (585) 275-7787
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 Howard Ave, New Haven, CT 06519-1369 — (203) 785-4216

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 7475 (CT)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence F380190 (NY)

Record details

NPI number1023048600
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESJuly 24, 2018

Other providers in Rochester