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NPI Code Detail

MEDICARE: JESSICA JENNINGS NP

MEDICARE: JESSICA JENNINGS NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner403395NY

General Provider Information

NPI Number : 1760778625
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA JENNINGS NP
Provider Business Mailing Address
First Line : 211 CHURCH ST
Second Line :
City : SARATOGA SPRINGS
State : NY
Zip : 12866-1090
Country : US
Telephone Number : 518-587-3222
Fax Number :
Provider Business Practice Location Address
First Line : 211 CHURCH ST
Second Line :
City : SARATOGA SPRINGS
State : NY
Zip : 12866-1090
Country : US
Telephone Number : 518-587-3222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2011
Last Update Date : 03/26/2021

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