Individual
JILLIAN KERMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
530 CEDAR ST, SYRACUSE, NY 13210-2302
(845) 625-7472
Mailing address
131 CROYDEN LN, APARTMENT F, SYRACUSE, NY 13224-2131
(845) 625-7472
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
674947
NY
Other
Enumeration date
11/28/2014
Last updated
11/28/2014
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