National Provider Identifier

Jessica Ann Gullo, LPN

Jessica Ann Gullo, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Lockport, NY and a listed phone number of (716) 480-6889.

NPI 1225993488Lockport, NYLicensed Practical Nurse

Profile Overview

NPI
1225993488
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 19, 2025
Last Updated
December 19, 2025

Practice Location

  • 5 Bright St
  • Lockport, NY 14094-4103

Phone: (716) 480-6889

Mailing Address

  • 3700 Kelsey Ln
  • North Tonawanda, NY 14120-3617

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1225993488
Entity Type
Individual
Last Name
Gullo
First Name
Jessica
Middle Name
Ann
Name Prefix
Miss
Credential
LPN
Mailing Street Address
3700 Kelsey Ln
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-3617
Mailing Country
US
Mailing Phone
(716) 480-6889
Practice Street Address
5 Bright St
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-4103
Practice Country
US
Practice Phone
(716) 480-6889
Enumeration Date
December 19, 2025
Last Updated
December 19, 2025
Sex
Female
Sole Proprietor
No
Certification Date
December 19, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)