Individual
MRS. JODI L TOWNE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19320 US ROUTE 11, WATERTOWN, NY 13601-5337
(315) 786-0254
(315) 786-0976
Mailing address
19320 US ROUTE 11, WATERTOWN, NY 13601-5337
(315) 786-0254
(315) 786-0976
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302737
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01951793
—
NY
Enumeration date
05/18/2006
Last updated
07/08/2007
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