Jean Elizabeth Mack-fogg is a Rochester, New York based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Jean Elizabeth Mack-fogg is 7475 for Pediatrics in Connecticut. Her current practice location is 601 Elmwood Ave, Rochester. Patients can reach her at 585-275-7787 with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1023048600. Jean Elizabeth Mack-fogg specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Jean Elizabeth Mack-fogg speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1023048600
NPI Enumeration Date:
03 Jul, 2006
NPI Last Update On:
24 Jul, 2018
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jean Elizabeth Mack-fogg are as mentioned below.
License Number
Specialization
State
Status
7475
Pediatrics
Connecticut
Primary
F380190
Pediatrics
New York
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jean Elizabeth Mack-fogg such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
02299521
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jean Elizabeth Mack-fogg 601 Elmwood Ave, Box 635 Rochester, New York
Zip:
14642-0001
Phone Number:
585-275-7787
Patients can reach Jean Elizabeth Mack-fogg at 601 Elmwood Ave, Rochester, New York or can call to book an appointment on 585-275-7787.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.