Individual
JESSICA MARIE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3478
(518) 332-3956
Mailing address
320 STATES RD, STONY CREEK, NY 12878-1627
(518) 332-3956
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
101.0138246
VT
367500000X
Certified Registered Nurse Anesthetist
Primary
552768-01
NY
Other
Enumeration date
03/12/2025
Last updated
12/29/2025
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