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Susan Jackson, FNP
NPI 1699889949 · on the registry since 2006
Practice
- Address
- 1450 Champlin Ave
Utica, NY 13502 - Phone
- (315) 624-9000
- Fax
- (315) 624-9003
- Organisation at this address
- Mohawk Valley Family Medicine Pllc
Sleep Disorders Lab Of Central New York, Llc
Pulmonary Critical Care And Sleep Medicine PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 1703 Genesee St, Utica, NY
- 2305 Genesee St, Utica, NY
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-03-09
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