National Provider Identifier
Tina Short
Tina Short is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Jamestown, NY and a listed phone number of (716) 640-6275.
Profile Overview
- NPI
- 1013486703
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- November 26, 2018
- Last Updated
- November 26, 2018
Practice Location
- 11 Rowley Ct
- Jamestown, NY 14701-2657
Phone: (716) 640-6275
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1013486703
- Entity Type
- Individual
- Last Name
- Short
- First Name
- Tina
- Mailing Street Address
- 11 Rowley Ct
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-2657
- Mailing Country
- US
- Mailing Phone
- (716) 640-6275
- Practice Street Address
- 11 Rowley Ct
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-2657
- Practice Country
- US
- Practice Phone
- (716) 640-6275
- Enumeration Date
- November 26, 2018
- Last Updated
- November 26, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)