Individual provider · Type 1 NPI

Kathy Jean Whitehead, FNP

Family Nurse Practitioner · Syracuse, NY

NPI number 1699895912 Active

Practice location

4900 Broad Rd
Syracuse, NY 13215-2265

Fax (315) 492-5303

Mailing address

4685 Antoinette Dr
Marcellus, NY 13108-1001

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF330885-1 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1699895912

Kathy Jean Whitehead, FNP's National Provider Identifier is 1699895912, issued on Mar 30, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Syracuse, NY. The record was last updated on Jul 8, 2007.