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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JENNA ALANE HIESTAND, MD

Active

DR. JENNA ALANE HIESTAND, MD is a Psychosomatic Medicine healthcare provider located in SYRACUSE, New York. NPI 1376655704 is currently active in the NPPES registry. Verify at CMS.

Psychosomatic Medicine · SYRACUSE, NY

Registration Details

NPI Number
1376655704
Provider Type
Individual
Gender
Female
NPI Issued
Aug 31, 2006 (19.981735728266 yrs)
Last Updated
Nov 22, 2024
Licenses
307264 (NY)
2006-01125 (NC)
40971 (CO)
103380 (AK)
MD27977 (OR)

Practice Information

Address
301 PROSPECT AVE
SYRACUSE, NY, 132031807
Browse NY providers · Browse ZIP 13203
Phone
3159569711
Primary Specialty
Psychosomatic Medicine
2084P0015X
Additional Specialty
Psychiatry
Additional Specialty
Psychiatry
Additional Specialty
Psychiatry
Additional Specialty
Psychiatry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.