Individual
JENNA MAXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7 CLAYTON AVE, CORTLAND, NY 13045-2501
(607) 758-6100
Mailing address
7 CLAYTON AVE, CORTLAND, NY 13045-2501
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
804931
NY
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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