National Provider Identifier
Jedidah Denise Dennis, NP
Jedidah Denise Dennis, NP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 878-6711.
Profile Overview
- NPI
- 1114044336
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- March 23, 2007
- Last Updated
- July 08, 2007
Practice Location
- 1300 Elmwood Ave
- Buffalo, NY 14222-1004
Phone: (716) 878-6711
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1114044336
- Entity Type
- Individual
- Last Name
- Dennis
- First Name
- Jedidah
- Middle Name
- Denise
- Name Prefix
- MS.
- Credential
- NP
- Mailing Street Address
- 1300 Elmwood Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14222-1004
- Mailing Country
- US
- Mailing Phone
- (716) 878-6711
- Mailing Fax
- (716) 878-6727
- Practice Street Address
- 1300 Elmwood Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14222-1004
- Practice Country
- US
- Practice Phone
- (716) 878-6711
- Practice Fax
- (716) 878-6727
- Enumeration Date
- March 23, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)
- Other Identifiers
- 302256 (NY, Lic)