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JESSICA ELAINE MINICK
NPI 1679283196
Student in an Organized Health Care Education/Training Program in Fort Drum, NY

Active since November 28, 2022
11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602(815) 501-0015 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica Elaine Minick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA ELAINE MINICK (NPI 1679283196) is an individual student in an organized health care education/training program in Fort Drum, New York and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1679283196
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA ELAINE MINICK
Location Address11050 MT BELVEDERE BLVDFort Drum, NY 13602-2603
Mailing Address11050 Mt Belvedere BlvdFort Drum, NY 13602-2603
Phone(815) 501-0015
Sole ProprietorNo
Enumeration DateNovember 28, 2022
Last NPPES UpdateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1679283196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11050 MT BELVEDERE BLVD, Fort Drum, NY 13602
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL HARRIS CARPENTER M.D.
Pediatrics
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-7730
DR. ELIZABETH DUQUE M.D.
Family Medicine
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (888) 838-1303
PATRICK ALLEN CLAPP PA-C
Physician Assistant
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-5516
KEVIN LEE LAROSE PHYSICIAN ASSISTANT
Physician Assistant
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778
DEEANN STALVEY
Psychologist
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (701) 367-0584
AMBER DONN CANTEY DPT
Physical Therapist
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (210) 419-1874
JEREMIAH C CLESTER PA-C
Physician Assistant
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778
DUSTEN GREEN DSW,LCSW, CASAC
Social Worker
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Minick's NPI number?

The NPI number for Jessica Minick is 1679283196. It was assigned to this individual provider in the NPPES registry on November 28, 2022.

Where is Jessica Minick located?

Jessica Minick practices at 11050 Mt Belvedere Blvd, Fort Drum, NY 13602. The listed phone number is (815) 501-0015.

What is Jessica Minick's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jessica Minick was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.