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Individual

MRS. JENNIFER LEE ZAJAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11050 MT BELVEDERE BLVD, USA MEDDAC, FORT DRUM, NY 13602-5004
(315) 785-4624
Mailing address
USA MEDDAC, 11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
420663
NY
367A00000X
Advanced Practice Midwife
002171
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03400828
NY
Enumeration date
10/11/2006
Last updated
09/16/2024
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