Provider Demographics
NPI:1669535662
Name:FITZPATRICK, JENNIFER E (FNP-BC; PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:E
Last Name:FITZPATRICK
Suffix:
Gender:F
Credentials:FNP-BC; PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 JOHN ST
Mailing Address - Street 2:
Mailing Address - City:COHOES
Mailing Address - State:NY
Mailing Address - Zip Code:12047-5030
Mailing Address - Country:US
Mailing Address - Phone:518-220-9989
Mailing Address - Fax:
Practice Address - Street 1:PARSON'S CHILD AND FAMILY CENTER
Practice Address - Street 2:1 GENIUM PLAZA
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12304
Practice Address - Country:US
Practice Address - Phone:518-415-5834
Practice Address - Fax:518-689-4866
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF401441-1363LP0808X
NYF331149-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health