Jantsch, Stacey M

Jantsch, Stacey M is an individual health care provider with primary practice located at 301 Prospect Ave , Syracuse NY 13203-1807. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jantsch, Stacey M can be contacted via phone (315) 430-4874.

Contact Information

Primary practice address
301 Prospect Ave Syracuse NY 13203-1807
Phone: (315) 430-4874
Fax: (315) 448-2762
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F310040-01 New York
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 310040 New York
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 310040 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 310040 New York

Profile Details

NPI number 1861091324
LBN Legal business name Jantsch, Stacey M
Credentials AGNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2020
Last updated May 2nd, 2022 - about 2 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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