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Individual

MRS. JENNIFER EKWUTOSI ADJARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
7 SOUTHWOODS BLVD, ALBANY, NY 12211
(518) 292-6000
(518) 292-6087
Mailing address
7 SOUTHWOODS BLVD, ALBANY, NY 12211
(518) 292-6000
(518) 292-6087

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
305738
NY
363LG0600X
Gerontology Nurse Practitioner
340820
NY

Other

Enumeration date
02/29/2012
Last updated
06/12/2019
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