Jessica Austin, NP
Nurse Practitioner in Ithaca, NY. Individual provider (NPI-1).
NPI number1285244012
StatusActive
Last updated in NPPESAug 6, 2020
Details
- NPI
- 1285244012
- Entity type
- Individual (NPI-1)
- Name
- Jessica Austin
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 6, 2020
- Certification date
- Aug 6, 2020
- Last updated
- Aug 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 346289 | NY | Yes |
Practice location
905 Hanshaw Rd Ste AIthaca, NY 14850-1549
Phone 607-269-0033 · Fax 607-269-0037
Mailing address
403 Snyder Hill RdIthaca, NY 14850-8722
Phone 607-327-1898
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