Carncross, Jodie Danielle

Carncross, Jodie Danielle is an individual health care provider with primary practice located at 90 Presidential Plaza 1St Fl, Syracuse NY 13202. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Carncross, Jodie Danielle can be contacted via phone (315) 464-5210.

Contact Information

Primary practice address
90 Presidential Plaza 1St Fl Syracuse NY 13202
Phone: (315) 464-5210
Fax: (315) 464-2141
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F346088-01 New York
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 346088 New York

Profile Details

NPI number 1952929200
LBN Legal business name Carncross, Jodie Danielle
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2020
Last updated Oct 7th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952929200 NPPES
New York MEDICAID 06179193

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