NPI
Jennifer Maynard Pratt
NPI 1407319098
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2019-04-10
- Last updated
- 2019-04-10
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Specialties
Licenses
- License NY
- 286956
Location
- Practice location
- 875 Lamson Rd
- City
- Phoenix NY
- Postal code
- 13135-9020
- Phone
- (315) 315-3155
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Phoenix, NY. 64 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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