National Provider Identifier

Jenna Anne Richey, NP

Jenna Anne Richey, NP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Depew, NY and a listed phone number of (716) 683-4196.

NPI 1184342719Depew, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1184342719
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
August 19, 2022
Last Updated
August 19, 2022

Practice Location

  • 571 Terrace Blvd
  • Depew, NY 14043-3610

Phone: (716) 683-4196

Mailing Address

  • 4855 Camp RD Ste 100
  • Hamburg, NY 14075-2600

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)

Endpoints

  • rwitulski@lakeshorepca.com

    Direct Messaging Address | Direct | Other | Depew, NY 14043

    Billing Manager Business Email

Full Record
NPI
1184342719
Entity Type
Individual
Last Name
Richey
First Name
Jenna
Middle Name
Anne
Credential
NP
Mailing Street Address
4855 Camp RD Ste 100
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-2600
Mailing Country
US
Mailing Phone
(716) 646-1084
Mailing Fax
(716) 646-0763
Practice Street Address
571 Terrace Blvd
Practice City
Depew
Practice State
NY
Practice ZIP Code
14043-3610
Practice Country
US
Practice Phone
(716) 683-4196
Practice Fax
(716) 646-0763
Enumeration Date
August 19, 2022
Last Updated
August 19, 2022
Sex
Female
Sole Proprietor
No
Certification Date
August 17, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X)
Other Identifiers
310797 (NY, New York State Dept Of Education)