Individual
JACLYN BOOP-LOOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
30 HARRISON ST STE 400, JOHNSON CITY, NY 13790-2176
(607) 763-8008
Mailing address
33 LEWIS RD, FL 2, BINGHAMTON, NY 13905
(607) 770-0025
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
433308
NY
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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