Individual
JENNA ROSE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
315 S MANNING BLVD, ALBANY, NY 12208-1707
(518) 525-1394
Mailing address
425 NEW SCOTLAND AVE, ALBANY, NY 12208-2726
(253) 348-8709
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
350601
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003169912A
—
GA
05
—
015524800
—
FL
Enumeration date
08/13/2015
Last updated
03/12/2025
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