National Provider Identifier

Jacey Rae Ryan, LPN

Jacey Rae Ryan, 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) 856-7502.

NPI 1245670595Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1245670595
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
July 01, 2013
Last Updated
July 01, 2013

Practice Location

  • 346 Delaware Ave
  • Buffalo, NY 14202-1804

Phone: (716) 856-7502

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1245670595
Entity Type
Individual
Last Name
Ryan
First Name
Jacey
Middle Name
Rae
Credential
LPN
Mailing Street Address
346 Delaware Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14202-1804
Mailing Country
US
Practice Street Address
346 Delaware Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14202-1804
Practice Country
US
Practice Phone
(716) 856-7502
Enumeration Date
July 01, 2013
Last Updated
July 01, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)