Individual
SYDNEY JOHNSTONE JAKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
534 TRIMMER ROAD, SPENCERPORT, NY 14559
(585) 491-0288
Mailing address
534 TRIMMER ROAD, SPENCERPORT, NY 14559
(585) 491-0288
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F383548-01
NY
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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