Individual provider · Type 1 NPI

Jenny M.s. Mack, AGNP

Adult Health Nurse Practitioner · Queensbury, NY

NPI number 1033864152 Active

Practice location

161 Carey Rd
Queensbury, NY 12804-7821

Fax (518) 824-2390

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X310673 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1033864152

Jenny M.s. Mack, AGNP's National Provider Identifier is 1033864152, issued on Feb 17, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Queensbury, NY. The record was last updated on Mar 30, 2026.