Individual provider · Type 1 NPI
Jenaye Karin Broe, FNP-C
Family Nurse Practitioner · Fayetteville, NY
NPI number
1154817633
Active
Practice location
4000 Medical Center Dr Ste 110
Fayetteville, NY 13066-6631
Mailing address
113 Red Barn Cir
Liverpool, NY 13088-4988
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F343229-1 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1154817633
Jenaye Karin Broe, FNP-C's National Provider Identifier is 1154817633, issued on Jul 8, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fayetteville, NY. The record was last updated on Jul 8, 2018.