Individual
JOCELYN ANNE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
116 PLEASANT ST, PERU, NY 12972-2821
(518) 643-6166
Mailing address
116 PLEASANT ST, PERU, NY 12972-2821
(518) 643-6166
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
608397
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
772846770
DRIVERS LICENSE
NY
Enumeration date
10/01/2018
Last updated
10/01/2018
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