Individual
TAYLOR JACQUELINE MASOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-1834
(315) 491-7325
Mailing address
429 N FRANKLIN ST APT 311, SYRACUSE, NY 13204-1464
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402631-1
NY
Other
Enumeration date
05/28/2019
Last updated
04/15/2021
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