Individual
LORENE CORNISH JUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20 ARROWWOOD DR., ITHACA, NY 14850
(607) 266-7800
(607) 216-0093
Mailing address
20 ARROWWOOD DR., ITHACA, NY 14850
(607) 266-7800
(607) 216-0093
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3000211
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01459874
—
NY
Enumeration date
11/09/2006
Last updated
05/31/2012
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