National Provider Identifier

Jean Landis

Jean Landis is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Jamestown, NY and a listed phone number of (716) 484-9113.

NPI 1215153044Jamestown, NYLicensed Practical Nurse

Profile Overview

NPI
1215153044
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 18, 2007
Last Updated
July 08, 2007

Practice Location

  • 111 W 2Nd St
  • Jamestown, NY 14701-5207

Phone: (716) 484-9113

Mailing Address

  • 129 E Mosher St
  • Falconer, NY 14733-1225

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1215153044
Entity Type
Individual
Last Name
Landis
First Name
Jean
Mailing Street Address
129 E Mosher St
Mailing City
Falconer
Mailing State
NY
Mailing ZIP Code
14733-1225
Mailing Country
US
Practice Street Address
111 W 2Nd St
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-5207
Practice Country
US
Practice Phone
(716) 484-9113
Enumeration Date
April 18, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)