Healthcare Provider Details

I. General information

NPI: 1457016099
Provider Name (Legal Business Name): JENNY SEARCY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2021
Last Update Date: 05/12/2023
Certification Date: 05/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 PARK AVE
AUBURN NY
13021-1911
US

IV. Provider business mailing address

17 LANSING ST
AUBURN NY
13021-1983
US

V. Phone/Fax

Practice location:
  • Phone: 315-255-7188
  • Fax:
Mailing address:
  • Phone: 315-255-7011
  • Fax: 315-255-7099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF310545-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: