Jennifer Kanaly
Jennifer Kanaly is a Nurse Practitioner in Peru, New York. Qualified in 2015, 11 years ago. Practices with Citizen Advocates, Inc, a 50-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.
- Years since qualifying
- 11
- Licensed in
- NY
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
287 John Boswell RdPeru, NY 12972
Phone: (518) 420-2073
Fax: (518) 763-0895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 40 401976 (NY) |
|---|---|
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X · Licence 401976 (NY) |
Record details
| NPI number | 1780045724 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 18, 2016 |
| Last updated in NPPES | September 9, 2020 |
| Certification date | September 9, 2020 |
| Mailing address | 75 Beekman St, Plattsburgh, NY 12901-1438 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Citizen Advocates, Inc — 50 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |