Individual
PAULA JANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602-2603
(315) 772-6165
(315) 816-4168
Mailing address
11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602-2603
(315) 772-6165
(315) 816-4168
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
503553-01
NY
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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