Individual
MRS. JENNIE MARIE DOANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
236 BELLE AVE, SYRACUSE, NY 13205-1938
(216) 392-2221
Mailing address
236 BELLE AVE, SYRACUSE, NY 13205-1938
(216) 392-2221
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306581
NY
363LG0600X
Gerontology Nurse Practitioner
F340918
NY
Other
Enumeration date
09/09/2013
Last updated
11/16/2015
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