National Provider Identifier
Jessica Lynn Hafezi
Jessica Lynn Hafezi is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 845-2300.
Profile Overview
- NPI
- 1003380528
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- January 17, 2019
- Last Updated
- January 14, 2021
Practice Location
- Elm And Carlton Streets
- Buffalo, NY 14263-0001
Phone: (716) 845-2300
Mailing Address
- Elm And Carlton St
- Buffalo, NY 14263-0001
Specialties
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1003380528
- Entity Type
- Individual
- Last Name
- Hafezi
- First Name
- Jessica
- Middle Name
- Lynn
- Provider Other Last Name
- Smith
- Provider Other First Name
- Jessica
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- Elm And Carlton St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14263-0001
- Mailing Country
- US
- Mailing Phone
- (716) 845-2300
- Practice Street Address
- Elm And Carlton Streets
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14263-0001
- Practice Country
- US
- Practice Phone
- (716) 845-2300
- Enumeration Date
- January 17, 2019
- Last Updated
- January 14, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 14, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X)
- Other Identifiers
- 343713 (NY, Np-Nys License)