Provider Demographics
NPI:1710867155
Name:PALYS, JENNA M
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:M
Last Name:PALYS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:16937
Mailing Address - Country:US
Mailing Address - Phone:585-610-8010
Mailing Address - Fax:
Practice Address - Street 1:181 CHURCH ST
Practice Address - Street 2:
Practice Address - City:MILLS
Practice Address - State:PA
Practice Address - Zip Code:16937
Practice Address - Country:US
Practice Address - Phone:585-610-8010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY344905-01164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse