National Provider Identifier
Fatima Marie Jacksonedge, RN
Fatima Marie Jacksonedge, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Buffalo, NY and a listed phone number of (716) 856-7500.
Profile Overview
- NPI
- 1194028084
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- December 15, 2010
- Last Updated
- December 15, 2010
Practice Location
- 346 Delaware Ave
- Buffalo, NY 14202-1804
Phone: (716) 856-7500
Mailing Address
- 115 Westminster Ave
- Buffalo, NY 14215-1714
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1194028084
- Entity Type
- Individual
- Last Name
- Jacksonedge
- First Name
- Fatima
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- RN
- Mailing Street Address
- 115 Westminster Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-1714
- Mailing Country
- US
- Mailing Phone
- (716) 225-7752
- Practice Street Address
- 346 Delaware Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-1804
- Practice Country
- US
- Practice Phone
- (716) 856-7500
- Enumeration Date
- December 15, 2010
- Last Updated
- December 15, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)