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Jennifer Kanaly
Psychiatric/Mental Health Nurse Practitioner in Peru, New York
NPI 1780045724

Jennifer Kanaly is a Psychiatric/Mental Health Nurse Practitioner based in Plattsburgh, NY and is specialized in Psychiatric/Mental Health. Jennifer Kanaly practices in Peru, NY. The NPI Number for Jennifer Kanaly is 1780045724 and holds a License No. 401976 (New York).

The current practice location address for Jennifer Kanaly is 287 John Boswell Rd, Peru, NY and can be reached out via phone at 518-420-2073 and via fax at 518-763-0895.

Location: 287 John Boswell Rd, Peru, NY, 12901-1438
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780045724
Provider Name
Jennifer Kanaly
Credential
Provider Entity Type
Individual
Gender
Female
Address
287 John Boswell Rd, Peru, NY, 12901-1438
Phone Number
518-420-2073
Fax Number
518-763-0895
Provider Enumeration Date
03/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
287 John Boswell Rd
City
Peru
State
New York
Zip
12972
Phone Number
518-420-2073
Fax Number
518-763-0895
person
Provider Business Mailing Address Details
Address
287 John Boswell Rd
City
Peru
State
New York
Zip
12972
Phone Number
518-420-2073
Fax Number
518-763-0895
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
401976 (New York)
Definition
Definition to come...
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