Individual
MS. NANCY LYNN JARDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2107
(315) 470-7009
(315) 470-2923
Mailing address
PO BOX 540, 33-57 HARRISON STREET, JOHNSON CITY, NY 13790-0540
(315) 470-7009
(315) 470-2923
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
F350214-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F350214-1
LICENSE
NY
Enumeration date
05/21/2007
Last updated
07/08/2007
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