Individual
MS. JACQUELYN ANNE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1304 BUCKLEY ROAD, SUITE 200, SYRACUSE, NY 13212-4311
(315) 478-3311
(315) 476-5211
Mailing address
1304 BUCKLEY RD, SUITE 200, SYRACUSE, NY 13212-4311
(315) 478-3311
(315) 476-5211
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3031681
NY
363L00000X
Nurse Practitioner
F3031681
NY
Other
Enumeration date
08/15/2007
Last updated
01/23/2015
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