Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 335237 | NY |
NPI | 1003010786 |
---|---|
Provider Name | Jeri Lynne Savoie |
First Address | Amsterdam, NY 12010-6237 |
Second Address | Amsterdam, NY 12010-7532 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 17/09/2019 |