Individual
MRS. JENNIFER LYNN MARCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
329 N SALINA ST, SYRACUSE, NY 13203-1755
(315) 471-1564
Mailing address
329 N SALINA ST, SYRACUSE, NY 13203-1755
(315) 471-1564
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
622308
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404178
NY
Other
Enumeration date
03/29/2022
Last updated
02/17/2023
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