Individual ProviderKanesha Jenise TerryLicensed Practical NurseNursing Service ProvidersPractice Address128 Waring Rd, Rochester, NY 14609-2608(585) 405-4876PECOS EnrollmentBased on the most recent information from CMS, provider Kanesha Jenise Terry does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:33 PM.Profile DetailsProvider ID1225890106Provider TypeIndividualFull NameTerry, Kanesha JeniseGenderFemaleSole ProprietorNoEnumeration Date1/26/2024Last Updated1/26/2024Contact InformationPractice LocationPractice Address128 Waring Rd, Rochester, NY 14609-2608Phone(585) 405-4876FaxUnlisted FaxMailing LocationMailing Address128 Waring Rd, Rochester, NY 14609-2608Phone(585) 405-4876FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense345614-01New York