Individual
DR. JESSICA RENEE ACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
249 GLENWOOD RD, BINGHAMTON, NY 13905-1603
(607) 240-4745
Mailing address
249 GLENWOOD RD, BINGHAMTON, NY 13905-1603
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
058050
NY
1835P1300X
Psychiatric Pharmacist
Primary
058050-I
NY
Other
Enumeration date
07/12/2013
Last updated
03/11/2020
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