Individual
JESSICA AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
905 HANSHAW RD STE A, ITHACA, NY 14850-1549
(607) 269-0033
(607) 269-0037
Mailing address
403 SNYDER HILL RD, ITHACA, NY 14850-8722
(607) 327-1898
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
346289
NY
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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