Provider Demographics
NPI:1033247796
Name:BATTY, JENNIFER JANE (RPH)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:JANE
Last Name:BATTY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SARANAC LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12983-1132
Mailing Address - Country:US
Mailing Address - Phone:518-891-3132
Mailing Address - Fax:
Practice Address - Street 1:277 BROADWAY
Practice Address - Street 2:
Practice Address - City:SARANAC LAKE
Practice Address - State:NY
Practice Address - Zip Code:12983-1132
Practice Address - Country:US
Practice Address - Phone:518-891-3132
Practice Address - Fax:518-891-6811
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046147183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY046147OtherNYS LICENSE NUMBER