Individual
JENNIFER L GEPHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
196 NORTH STREET, GENEVA, NY 14456
(315) 787-4000
Mailing address
102 OVID ST, SENECA FALLS, NY 13148-1934
(315) 759-8898
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310149
NY
Other
Enumeration date
05/07/2021
Last updated
08/18/2024
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