Individual
JENNIFER S DESJARDINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
99 E STATE ST, GLOVERSVILLE, NY 12078-1203
(518) 725-8621
Mailing address
22 SPRING AVE, GLOVERSVILLE, NY 12078-2636
(518) 774-7195
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F347989-01
NY
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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