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

Jessica Elaine Minick

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679283196

Jessica Elaine Minick is a Student in an Organized Health Care Education/Training Program in Fort Drum, New York. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

11050 Mt Belvedere Blvd
Fort Drum, NY 13602-2603
Phone: (815) 501-0015
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1679283196
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 28, 2022
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

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