Provider Demographics
NPI:1629763289
Name:MCGAR, JENNIFER KRISTY (NP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:KRISTY
Last Name:MCGAR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:NY
Mailing Address - Zip Code:14414-9576
Mailing Address - Country:US
Mailing Address - Phone:585-329-1845
Mailing Address - Fax:
Practice Address - Street 1:7995 CALL PKWY
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-4114
Practice Address - Country:US
Practice Address - Phone:585-602-4050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-10
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY576438-01163WX0200X
NY311272363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WX0200XNursing Service ProvidersRegistered NurseOncology