Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | F320029-1 | NY |
NPI | 1952374886 |
---|---|
Provider Name | Mrs. Allison Jennett German |
First Address | Oswego, NY 13126-3501 |
Second Address | Oswego, NY 13126 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2006 |
Last Update Date | 13/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q57141 | (02) | NY |