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Individual

MRS. CASSANDRA T JAQUISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1 BELL TOWER DR, WATERVLIET, NY 12189-2333
(518) 268-6390
Mailing address
27 JORDAN RD, TROY, NY 12180-8531
(518) 657-9374

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
356988
NY

Other

Enumeration date
08/25/2025
Last updated
08/25/2025
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