National Provider Identifier
Jacob Medina, LPN
Jacob Medina, 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) 533-7175.
Profile Overview
- NPI
- 1245585470
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- July 13, 2012
- Last Updated
- July 13, 2012
Practice Location
- 85 Gelston St
- Buffalo, NY 14213-1524
Phone: (716) 533-7175
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1245585470
- Entity Type
- Individual
- Last Name
- Medina
- First Name
- Jacob
- Name Prefix
- Mr.
- Credential
- LPN
- Mailing Street Address
- 85 Gelston St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14213-1524
- Mailing Country
- US
- Mailing Phone
- (716) 533-7175
- Practice Street Address
- 85 Gelston St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213-1524
- Practice Country
- US
- Practice Phone
- (716) 533-7175
- Enumeration Date
- July 13, 2012
- Last Updated
- July 13, 2012
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 244459 (NY, Nursing License)