Individual provider · Type 1 NPI

Jennifer Susan Castro, NP

Nurse Practitioner · Camillus, NY

NPI number 1174594709 Active

Practice location

5415 W Genesee St, Suite 301
Camillus, NY 13031-2162

Fax (315) 487-5680

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4153431 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1174594709

Jennifer Susan Castro, NP's National Provider Identifier is 1174594709, issued on Jan 31, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Camillus, NY. The record was last updated on Aug 17, 2007.