National Provider Identifier
Jilliann Marie Smith, FNP-BC
Jilliann Marie Smith, FNP-BC is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Orchard Park, NY and a listed phone number of (716) 656-4478.
Profile Overview
- NPI
- 1023306651
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- July 18, 2011
- Last Updated
- April 03, 2023
Practice Location
- 3900 N Buffalo St
- Orchard Park, NY 14127-1842
Phone: (716) 656-4478
Mailing Address
- 425 Essjay RD Ste 170
- Williamsville, NY 14221-8235
Specialties
- Family Nurse Practitioner (363LF0000X)
Endpoints
- production@direct.buffalomedicalgroup.com
Direct Messaging Address | Direct | Orchard Park, NY 14127
Full Record
- NPI
- 1023306651
- Entity Type
- Individual
- Last Name
- Smith
- First Name
- Jilliann
- Middle Name
- Marie
- Credential
- FNP-BC
- Provider Other Last Name
- Bevilacqua
- Provider Other First Name
- Jilliann
- Provider Other Middle Name
- Marie
- Provider Other Credential Text
- FNP-BC
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 425 Essjay RD Ste 170
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8235
- Mailing Country
- US
- Mailing Phone
- (716) 630-1219
- Mailing Fax
- (716) 817-1726
- Practice Street Address
- 3900 N Buffalo St
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1842
- Practice Country
- US
- Practice Phone
- (716) 656-4478
- Practice Fax
- (716) 250-5956
- Enumeration Date
- July 18, 2011
- Last Updated
- April 03, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 03, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)