Most Relevant Information
Provider Data
| NPI Number: | 1003239047 |
| Provider Name: | JACLYN KORVER |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0200X |
| Specialty: | Registered Nurse |
| License Number: | 668191 |
Most Important Dates
| Enumeration Date: | 01/28/2014 |
| Last Updated: | 01/28/2014 |
Provider Practice Location
108 SHONNARD ST
SYRACUSE
NY
132043216
Practice Location Phone/Fax
| Phone: | 3154354973 |
| Fax: |
Provider Mailing Location
5088 LINCKLAEN RD
CAZENOVIA
NY
130359749
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |