Prendergast, Jane M
Prendergast, Jane M is an individual health care provider with primary practice located at 218 Stone St Fl 2 Community Clinic Of Jefferson County, Watertown NY 13601-3211. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Prendergast, Jane M can be contacted via phone (315) 782-7445.Contact Information
Primary practice address
218 Stone St Fl 2 Community Clinic Of Jefferson County
Watertown NY 13601-3211
Phone: (315) 782-7445
Fax: (315) 779-1184
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 303635 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | F400868 | New York |
Profile Details
NPI number | 1346322450 |
---|---|
LBN Legal business name | Prendergast, Jane M |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 19th, 2006 |
Last updated | Jul 29th, 2011 - about 13 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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