Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaclyn Fausner

Individual provider Specialist · NPI 1568835676

Jaclyn Fausner is a Specialist in Syracuse, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

171 Intrepid Ln
Syracuse, NY 13205-2548
Phone: (315) 437-4689
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1346349 (NY)

Record details

NPI number1568835676
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 11, 2015
Last updated in NPPESNovember 11, 2015
Mailing address171 Intrepid Ln, Syracuse, NY 13205-2548

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