Individual provider · Type 1 NPI

Jennifer De Rutte

Student in an Organized Health Care Education/Training Program · Syracuse, NY

NPI number 1194618124 Active

Practice location

800 Irving Ave
Syracuse, NY 13210-2716

Call (707) 477-3853 Map

Mailing address

1119 N Townsend St Apt 407
Syracuse, NY 13208-2656

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194618124

Jennifer De Rutte's National Provider Identifier is 1194618124, issued on May 29, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Syracuse, NY. The record was last updated on Jun 10, 2025.