Individual
JENNIFER AMBER FACTEAU-RABIDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
345 CORNELIA ST, PLATTSBURGH, NY 12901-2377
(518) 310-3090
(518) 310-3094
Mailing address
345 CORNELIA ST, PLATTSBURGH, NY 12901-2377
(518) 310-3090
(518) 310-3094
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
30 306177
NY
Other
Enumeration date
08/09/2012
Last updated
09/23/2013
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