National Provider Identifier
Jason Phillip Dutchess, LPN
Jason Phillip Dutchess, 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) 816-2936.
Profile Overview
- NPI
- 1235646100
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 02, 2018
- Last Updated
- January 02, 2018
Practice Location
- 400 Forest Ave
- Buffalo, NY 14213-1207
Phone: (716) 816-2936
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1235646100
- Entity Type
- Individual
- Last Name
- Dutchess
- First Name
- Jason
- Middle Name
- Phillip
- Credential
- LPN
- Mailing Street Address
- 400 Forest Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14213-1207
- Mailing Country
- US
- Mailing Phone
- (716) 816-2936
- Mailing Fax
- (716) 816-2941
- Practice Street Address
- 400 Forest Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213-1207
- Practice Country
- US
- Practice Phone
- (716) 816-2936
- Practice Fax
- (716) 816-2941
- Enumeration Date
- January 02, 2018
- Last Updated
- January 02, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)