National Provider Identifier
Jacob T Nuttle, PA-C
Jacob T Nuttle, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 826-7000.
Profile Overview
- NPI
- 1265094031
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 02, 2019
- Last Updated
- July 02, 2019
Practice Location
- 565 Abbott RD
- Buffalo, NY 14220-2039
Phone: (716) 826-7000
Mailing Address
- 2291 W Blood RD
- East Aurora, NY 14052-1121
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1265094031
- Entity Type
- Individual
- Last Name
- Nuttle
- First Name
- Jacob
- Middle Name
- T
- Credential
- PA-C
- Mailing Street Address
- 2291 W Blood RD
- Mailing City
- East Aurora
- Mailing State
- NY
- Mailing ZIP Code
- 14052-1121
- Mailing Country
- US
- Mailing Phone
- (716) 860-4304
- Practice Street Address
- 565 Abbott RD
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14220-2039
- Practice Country
- US
- Practice Phone
- (716) 826-7000
- Enumeration Date
- July 02, 2019
- Last Updated
- July 02, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)