Individual provider · Type 1 NPI

Sydney Johnstone Jakes, PNP

Pediatric Nurse Practitioner · Spencerport, NY

NPI number 1417738436 Active

Practice location

534 Trimmer Road
Spencerport, NY 14559

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF383548-01 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1417738436

Sydney Johnstone Jakes, PNP's National Provider Identifier is 1417738436, issued on Oct 6, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Spencerport, NY. The record was last updated on Oct 6, 2023.