Individual provider · Type 1 NPI

Amanda Rose Jetty, FNP

Family Nurse Practitioner · Syracuse, NY

NPI number 1720390198 Active

Practice location

301 Prospect Ave
Syracuse, NY 13203-1807

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	336416 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1720390198

Amanda Rose Jetty, FNP's National Provider Identifier is 1720390198, issued on Jul 13, 2010. 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 13, 2010.