Individual provider · Type 1 NPI

Jenna Laine Warner, PNP

Pediatric Nurse Practitioner · Latham, NY

NPI number 1457874547 Active

Practice location

6 Wellness Way Ste 102
Latham, NY 12110-2156

Fax (518) 783-7506

Mailing address

6 Wellness Way Ste 201
Latham, NY 12110-2156

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X382765 (NY)

Pediatric Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1457874547

Jenna Laine Warner, PNP's National Provider Identifier is 1457874547, issued on Jul 20, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Latham, NY. The record was last updated on Feb 8, 2024.