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Jennifer Johannessen
School Registered Nurse in Sackets Harbor, New York
NPI 1528460003

Jennifer Johannessen is a School Registered Nurse based in Sackets Harbor, NY and is specialized in School. Jennifer Johannessen practices in Sackets Harbor, NY. The NPI Number for Jennifer Johannessen is 1528460003 and holds a License No. 526638-1 (New York).

The current practice location address for Jennifer Johannessen is 215 S. Broad St., Sackets Harbor, NY and can be reached out via phone at 315-646-3419 and via fax at 315-646-1038.

Location: 215 S. Broad St., Sackets Harbor, NY, 13685-0290
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528460003
Provider Name
Jennifer Johannessen
Credential
Provider Entity Type
Individual
Gender
Female
Address
215 S. Broad St., Sackets Harbor, NY, 13685-0290
Phone Number
315-646-3419
Fax Number
315-646-1038
Provider Enumeration Date
09/16/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
215 S. Broad St.
City
Sackets Harbor
State
New York
Zip
13685-0290
Phone Number
315-646-3419
Fax Number
315-646-1038
person
Provider Business Mailing Address Details
Address
215 S. Broad St.
City
Sackets Harbor
State
New York
Zip
13685-0290
Phone Number
315-646-3419
Fax Number
315-646-1038
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
School
Taxonomy
163WS0200X
License No.
526638-1 (New York)
Definition
Definition to come...
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