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Individual

JENNIFER BOOTH

Active
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Individual

JENNIFER BOOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
718715
NY
363LF0000X
Family Nurse Practitioner
10815
CT
363LF0000X
Family Nurse Practitioner
Primary
350392
NY

Other

Enumeration date
07/13/2022
Last updated
09/28/2023
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