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AMANDA ROSE JETTY FNP
NPI 1720390198
Nurse Practitioner - Family in Syracuse, NY

Active since July 13, 2010
301 PROSPECT AVE, SYRACUSE, NY 13203(315) 448-5111 Get Directions Write a Review

NPPES record last updated: July 13, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Rose Jetty Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA ROSE JETTY FNP (NPI 1720390198) is an individual family provider in Syracuse, New York, licensed in New York (336416) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1720390198
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA ROSE JETTYCredential: FNP
Location Address301 PROSPECT AVESyracuse, NY 13203-1807
Mailing Address301 Prospect AveSyracuse, NY 13203-1807 · (315) 448-5111
Phone(315) 448-5111
Sole ProprietorNo
Enumeration DateJuly 13, 2010
✔ NPI 1720390198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 336416
301 PROSPECT AVE, Syracuse, NY 13203
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSHUA AUSTIN JOHNSON
Student in an Organized Health Care Education/Training Program
301 PROSPECT AVE
SYRACUSE, NY 13203
Onondaga County (315) 448-5111
TYLER GRANT RN
Nurse Anesthetist, Certified Registered
301 PROSPECT AVE
SYRACUSE, NY 13203
Onondaga County (315) 448-5111
MELISSA SCHREIBER RD
Dietitian, Registered
301 PROSPECT AVE
SYRACUSE, NY 13203
Onondaga County (315) 726-7755
DR. JOAN E THORNTON MD
Anesthesiology
301 PROSPECT AVE, DEPT OF ANESTHESIA
SYRACUSE, NY 13203
Onondaga County (315) 299-5451
DR. MIHAEL J PUC MD
Anesthesiology
301 PROSPECT AVE, DEPARTMENT OF ANESTHESIA
SYRACUSE, NY 13203
Onondaga County (315) 448-5440
DAVID J. SEELEY M.D.
Emergency Medicine
301 PROSPECT AVE
SYRACUSE, NY 13203
Onondaga County (315) 448-5101
PAMELA MARIE HOWARD LPN
Licensed Practical Nurse
301 PROSPECT AVE, ST. JOSEPH'S HOSPITAL
SYRACUSE, NY 13203
Onondaga County (315) 448-5111
SAMI SAMAIN MD
Student in an Organized Health Care Education/Training Program
301 PROSPECT AVE
SYRACUSE, NY 13203
Onondaga County (315) 448-5536

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Jetty's NPI number?

The NPI number for Amanda Jetty is 1720390198. It was assigned to this individual provider in the NPPES registry on July 13, 2010.

Where is Amanda Jetty located?

Amanda Jetty practices at 301 Prospect Ave, Syracuse, NY 13203. The listed phone number is (315) 448-5111.

What is Amanda Jetty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Amanda Jetty was last updated on July 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.