Individual
JENNA LAINE WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
6 WELLNESS WAY STE 102, LATHAM, NY 12110-2156
(518) 713-2099
(518) 783-7506
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382765
NY
Other
Enumeration date
07/20/2017
Last updated
02/08/2024
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