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Jan Mary Mead, FNP
Family Nurse Practitioner in Tully, New York
NPI 1730488321

Jan Mary Mead is a Family Nurse Practitioner based in Tully, NY and is specialized in Family. Jan Mary Mead practices in Tully, NY and has the professional credentials of FNP. The NPI Number for Jan Mary Mead is 1730488321 and holds a License No. F332612-1 (New York).

The current practice location address for Jan Mary Mead is 5697 Lake Rd, Tully, NY and can be reached out via phone at 315-391-8141.

Location: 5697 Lake Rd, Tully, NY, 13159-9412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730488321
Provider Name
Jan Mary Mead
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
5697 Lake Rd, Tully, NY, 13159-9412
Phone Number
315-391-8141
Fax Number
Provider Enumeration Date
03/22/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5697 Lake Rd
City
Tully
State
New York
Zip
13159-9412
Phone Number
315-391-8141
Fax Number
person
Provider Business Mailing Address Details
Address
5697 Lake Rd
City
Tully
State
New York
Zip
13159-9412
Phone Number
315-391-8141
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F332612-1 (New York)
Definition
Definition to come...
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