Individual
JAMIE D BOVAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
327 BROADWAY, FORT EDWARD, NY 12828-1233
(518) 747-1041
(518) 747-1022
Mailing address
100 PARK ST, GLENS FALLS, NY 12801-4413
(518) 926-5924
(518) 926-6983
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308342
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04880448
—
NY
Enumeration date
08/31/2017
Last updated
10/24/2024
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