Individual provider · Type 1 NPI

Jeananne M. Gibeault, N.P.

Family Nurse Practitioner · Syracuse, NY

NPI number 1821062241 Active

Practice location

739 Irving Ave, Suite 400
Syracuse, NY 13210-1640

Call (315) 234-6677 Map

Fax (315) 234-4808

Mailing address

730 S Crouse Ave, Suite 205
Syracuse, NY 13210-1713

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	F3322891 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1821062241

Jeananne M. Gibeault, N.P.'s National Provider Identifier is 1821062241, issued on Feb 14, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Syracuse, NY. The record was last updated on Feb 16, 2011.