National Provider Identifier
Jacqueline Clyburn, LPN
Jacqueline Clyburn, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 565-3626.
Profile Overview
- NPI
- 1144542705
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- February 24, 2010
- Last Updated
- February 24, 2010
Practice Location
- 73 Meech Ave
- Buffalo, NY 14208-1029
Phone: (716) 565-3626
Mailing Address
- 215 Blaine Ave
- Buffalo, NY 14208-1019
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1144542705
- Entity Type
- Individual
- Last Name
- Clyburn
- First Name
- Jacqueline
- Credential
- LPN
- Mailing Street Address
- 215 Blaine Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14208-1019
- Mailing Country
- US
- Mailing Phone
- (716) 882-3746
- Practice Street Address
- 73 Meech Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14208-1029
- Practice Country
- US
- Practice Phone
- (716) 565-3626
- Enumeration Date
- February 24, 2010
- Last Updated
- February 24, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)