Individual
JENICA JOY SHIPLEY MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 EAST ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-4363
(315) 464-8690
Mailing address
251 SALINA MEADOWS PKWY, SUITE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
315163
NY
Other
Enumeration date
04/12/2018
Last updated
08/10/2022
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