IndividualActive
Jessica Fornieri, ATC
NPI 1215390331 · Specialist · Washington, DC
Provider details
- NPI number
- 1215390331
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
- License
- LAT-2710 (NC)
Mailing address
964 Manor Ln
Bay Shore, NY 11706-7506
Registry dates
- Enumerated
- 2016-04-05
- Last updated
- 2020-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.