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Dr. Johnnie Jacqueline Wren, MD
Family Medicine Physician in Au Sable Forks, New York
NPI 1073045746

Johnnie Jacqueline Wren is a Family Medicine Physician based in Plattsburgh, NY. Johnnie Jacqueline Wren practices in Au Sable Forks, NY and has the professional credentials of MD. The NPI Number for Johnnie Jacqueline Wren is 1073045746 and holds a License No. 307989 (New York).

The current practice location address for Johnnie Jacqueline Wren is 15 Pleasant Street, Au Sable Forks, NY and can be reached out via phone at 518-647-8164.

Location: 15 Pleasant Street, Au Sable Forks, NY, 12901-1893
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073045746
Provider Name
Johnnie Jacqueline Wren
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
15 Pleasant Street, Au Sable Forks, NY, 12901-1893
Phone Number
518-647-8164
Fax Number
Provider Enumeration Date
03/31/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06303951 05 NY
institution
Provider Business Practice Location Address Details
Address
15 Pleasant Street
City
Au Sable Forks
State
New York
Zip
21912
Phone Number
518-647-8164
Fax Number
person
Provider Business Mailing Address Details
Address
15 Pleasant Street
City
Au Sable Forks
State
New York
Zip
21912
Phone Number
518-647-8164
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
307989 (New York)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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