National Provider Identifier

Jacquelyn L Gonzalez, LPN, CPHT

Jacquelyn L Gonzalez, LPN, CPHT is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Cheektowaga, NY and a listed phone number of (716) 833-9000.

NPI 1245488816Cheektowaga, NYLicensed Practical Nurse

Profile Overview

NPI
1245488816
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
September 08, 2008
Last Updated
September 08, 2008

Practice Location

  • 3527 Harlem RD
  • Cheektowaga, NY 14225-1552

Phone: (716) 833-9000

Mailing Address

  • 13079 Route 438
  • Gowanda, NY 14070-9712

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1245488816
Entity Type
Individual
Last Name
Gonzalez
First Name
Jacquelyn
Middle Name
L
Name Prefix
Mrs.
Credential
LPN, CPHT
Mailing Street Address
13079 Route 438
Mailing City
Gowanda
Mailing State
NY
Mailing ZIP Code
14070-9712
Mailing Country
US
Mailing Phone
(716) 572-2496
Practice Street Address
3527 Harlem RD
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-1552
Practice Country
US
Practice Phone
(716) 833-9000
Enumeration Date
September 08, 2008
Last Updated
September 08, 2008
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)