National Provider Identifier
Jesse Bernard Denardin, AGPC-NP
Jesse Bernard Denardin, AGPC-NP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Amherst, NY and a listed phone number of (716) 839-1690.
Profile Overview
- NPI
- 1114653250
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- July 30, 2022
- Last Updated
- July 30, 2022
Practice Location
- 4949 Harlem RD Ste 404
- Amherst, NY 14226-2500
Phone: (716) 839-1690
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1114653250
- Entity Type
- Individual
- Last Name
- Denardin
- First Name
- Jesse
- Middle Name
- Bernard
- Credential
- AGPC-NP
- Mailing Street Address
- 4949 Harlem RD Ste 404
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-2500
- Mailing Country
- US
- Mailing Phone
- (716) 839-1690
- Practice Street Address
- 4949 Harlem RD Ste 404
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-2500
- Practice Country
- US
- Practice Phone
- (716) 839-1690
- Enumeration Date
- July 30, 2022
- Last Updated
- July 30, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- July 30, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)