Jodi Marie Conlan, NP
Nurse Practitioner in Duanesburg, NY. Individual provider (NPI-1).
NPI number1669998472
StatusActive
Last updated in NPPESDec 11, 2024
Details
- NPI
- 1669998472
- Entity type
- Individual (NPI-1)
- Name
- Jodi Marie Conlan
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2017
- Certification date
- Dec 11, 2024
- Last updated
- Dec 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 340971 | NY | Yes |
Practice location
4780 Duanesburg Rd Ste 102Duanesburg, NY 12056-3422
Phone 518-299-5007 · Fax 518-510-9783
Mailing address
4780 Duanesburg Rd Ste 102Duanesburg, NY 12056-3422
Phone 518-299-5007
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