Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 338048 | NY |
NPI | 1003240227 |
---|---|
Provider Name | Joann Marie Ernst |
First Address | Binghamton, NY 13905-4246 |
Second Address | Binghamton, NY 13905-4246 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2013 |
Last Update Date | 18/03/2021 |