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:
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Health care specialties

SpecialtyCodeLicense #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 14 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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