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

Individual provider Licensed Practical Nurse · NPI 1619124005

Jessica Ann Widrick is a Licensed Practical Nurse in Watertown, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
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Practice location Address checks out

442 Maple Ave
Watertown, NY 13601-1222
Phone: (315) 405-5576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 292650-1 (NY)

Record details

NPI number1619124005
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 27, 2008
Last updated in NPPESAugust 27, 2008
Mailing address442 Maple Ave, Watertown, NY 13601-1222

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