Individual provider · Type 1 NPI
Jennifer Vandyke, NP
Psychiatric/Mental Health Nurse Practitioner · Syracuse, NY
NPI number
1720833460
Active
Practice location
301 Prospect Ave
Syracuse, NY 13203-1807
Mailing address
671 County Route 62
Pulaski, NY 13142-3217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 494677 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 406214 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1720833460
Jennifer Vandyke, NP's National Provider Identifier is 1720833460, issued on Apr 17, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Syracuse, NY. The record was last updated on Aug 5, 2024.