Individual
MRS. JENNIFER ELAINE MASON
Active
Individual
MRS. JENNIFER ELAINE MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F420768-1
NY
367A00000X
Advanced Practice Midwife
F001150-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00362863
—
NY
Enumeration date
03/31/2007
Last updated
03/08/2021
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