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

Jessica Lynn Rose

Individual provider Contractor · NPI 1104565019

Jessica Lynn Rose is a Contractor in Canton, New York. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

80 State Highway 310 Ste 2
Canton, NY 13617-1436
Phone: (315) 386-2325
Show map & directions

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

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1104565019
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 31, 2022
Last updated in NPPESMay 31, 2022
Certification dateMay 31, 2022
Mailing address80 State Highway 310 Ste 2, Canton, NY 13617-1436

Other providers in Canton