Individual
MRS. JANE ELIZABETH BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
750 E ADAMS ST, JACOBSON HALL 4TH FLOOR, SYRACUSE, NY 13210-2306
(315) 464-4260
Mailing address
1651 HEDGE LN, CAZENOVIA, NY 13035-9652
(315) 655-3175
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300463
NY
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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