Individual
JENNIFER SHANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
425 ROBINSON ST, BINGHAMTON, NY 13904-1735
(607) 773-4044
Mailing address
16 FOWLER AVE, JOHNSON CITY, NY 13790-2910
(607) 821-8926
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
551187
NY
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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