Individual
CATHERINE JIMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1899
(315) 448-5111
Mailing address
4239 STEPPING STONE LN, LIVERPOOL, NY 13090-1825
(607) 727-6580
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403620
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403620-01
NY
Other
Enumeration date
08/23/2021
Last updated
03/16/2026
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