Provider Demographics
NPI:1093140956
Name:MCCAFFREY, JENNIFER B (FNP)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:B
Last Name:MCCAFFREY
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:421 MONTGOMERY STREET ROOM 80
Mailing Address - Street 2:ONONDAGA COUNTY HEALTH DEPT. BUREAU OF DISEASE CONTROL
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13202
Mailing Address - Country:US
Mailing Address - Phone:315-435-3236
Mailing Address - Fax:315-435-3884
Practice Address - Street 1:421 MONTGOMERY STREET ROOM 80
Practice Address - Street 2:ONONDAGA COUNTY HEALTH DEPT. BUREAU OF DISEASE CONTROL
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13202
Practice Address - Country:US
Practice Address - Phone:315-435-3236
Practice Address - Fax:315-435-3884
Is Sole Proprietor?:No
Enumeration Date:2013-09-11
Last Update Date:2017-01-26
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Provider Licenses
StateLicense IDTaxonomies
NY320033363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400133202Medicare PIN