Search › New York › 163WS0200X
Jennifer Johannessen
NPI 1528460003 · on the registry since 2014
Practice
- Address
- 215 S. Broad St.
Sackets Harbor, NY 13685 - Phone
- (315) 646-3419
- Fax
- (315) 646-1038
- Organisation at this address
- Sackets Harbor Central School
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 163WS0200X
163WS0200X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-09-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York