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

Jennifer Johannessen

Individual provider School Registered Nurse · NPI 1528460003

Jennifer Johannessen is a School Registered Nurse in Sackets Harbor, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014

Practice location Address checks out

215 S Broad St
Sackets Harbor, NY 13685-0290 Not confirmed with CMS for 12 years — call before visiting
Phone: (315) 646-3419
Fax: (315) 646-1038
Show map & directions

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

Specialties & licences

School Registered Nurse (primary) Taxonomy 163WS0200X · Licence 526638-1 (NY)

Record details

NPI number1528460003
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 16, 2014
Last updated in NPPESSeptember 16, 2014

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