Individual
JENNIFER NOELLE MCSHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 LEO LN, POUGHQUAG, NY 12570-5401
(914) 497-7021
Mailing address
15 LEO LN, POUGHQUAG, NY 12570-5401
(914) 497-7021
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
527149
NY
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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