Individual
JENNIFER DAVIS MACBLANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5840
Mailing address
4853 THORNWOOD DR, LIVERPOOL, NY 13088-5811
(315) 569-1050
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
28001429
NY
Other
Enumeration date
02/15/2011
Last updated
08/03/2022
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