Individual
MRS. JENNIFER LYNN WETHERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7309 SENECA RD N, HORNELL, NY 14843-9691
(607) 385-3700
(607) 385-3160
Mailing address
7309 SENECA RD N, HORNELL, NY 14843-9691
(607) 385-3700
(607) 385-3160
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
527162
NY
363AM0700X
Medical Physician Assistant
310119
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F310119-01
NY
Other
Enumeration date
01/08/2021
Last updated
07/07/2023
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