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

Mrs. Jennifer Lee Zajac

Individual provider Advanced Practice Midwife · NPI 1609965565

Mrs. Jennifer Lee Zajac is a Nurse Practitioner in Fort Drum, New York. Qualified in 2003, 23 years ago. Practices with Planned Parenthood of the North Country New York, Inc, an 11-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
23
Licensed in
NY
In the registry since
2006
Specialties on file
2

Practice location Address checks out

11050 Mt Belvedere Blvd USA Meddac
Fort Drum, NY 13602-5004
Phone: (315) 785-4624
Show map & directions

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

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 420663 (NY)
Advanced Practice Midwife Taxonomy 367A00000X · Licence 002171 (NY)

Record details

NPI number1609965565
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 11, 2006
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Planned Parenthood Of The North Country New York, Inc. — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Drum