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

Jetta Stephens

Individual provider Pharmacist · NPI 1922968759

Jetta Stephens is a Pharmacist in Syracuse, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

750 E Adams St
Syracuse, NY 13210-2306
Phone: (315) 464-5540
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 073067 (NY)

Record details

NPI number1922968759
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 14, 2025
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025
Mailing address12 Dublin Ln, Poughkeepsie, NY 12603-2014

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