Individual
LISA JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23 MAPLE ST, MASSENA, NY 13662-1017
(315) 769-8441
(315) 769-3902
Mailing address
23 MAPLE ST, MASSENA, NY 13662-1017
(315) 769-8441
(315) 769-3902
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
544013
NY
Other
Enumeration date
10/14/2015
Last updated
10/10/2024
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