Individual
MS. JACQUELYNN SCHULTZ DUQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.P.
Contact information
Practice address
SUNY UPSTATE CHILD AND ADOLESCENT PSYCHIATRY CLINIC, 713 HARRISON STREET, SYRACUSE, NY 13210
(315) 464-4976
(315) 464-3202
Mailing address
SUNY UPSTATE CHILD AND ADOLESCENT PSYCHIATRY CLINIC, 713 HARRISON STREET, SYRACUSE, NY 13210-2017
(315) 464-4976
(315) 464-3202
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401388
NY
Other
Enumeration date
11/15/2011
Last updated
10/14/2019
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