National Provider Identifier

Jacqueline Fedchak, LPN

Jacqueline Fedchak, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Churchville, NY and a listed phone number of (716) 796-7782.

NPI 1245118785Churchville, NYLicensed Practical Nurse

Profile Overview

NPI
1245118785
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 22, 2025
Last Updated
August 22, 2025

Practice Location

  • 5765 Buffalo RD
  • Churchville, NY 14428-9785

Phone: (716) 796-7782

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1245118785
Entity Type
Individual
Last Name
Fedchak
First Name
Jacqueline
Credential
LPN
Mailing Street Address
5765 Buffalo RD
Mailing City
Churchville
Mailing State
NY
Mailing ZIP Code
14428-9785
Mailing Country
US
Mailing Phone
(716) 796-7782
Practice Street Address
5765 Buffalo RD
Practice City
Churchville
Practice State
NY
Practice ZIP Code
14428-9785
Practice Country
US
Practice Phone
(716) 796-7782
Enumeration Date
August 22, 2025
Last Updated
August 22, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
August 22, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)