National Provider Identifier

Jaelyn Smith

Jaelyn Smith is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Niagara Falls, NY and a listed phone number of (716) 951-2390.

NPI 1336000488Niagara Falls, NYLicensed Practical Nurse

Profile Overview

NPI
1336000488
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 19, 2025
Last Updated
November 19, 2025

Practice Location

  • 1020 Creekside Dr
  • Niagara Falls, NY 14304-2534

Phone: (716) 951-2390

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1336000488
Entity Type
Individual
Last Name
Smith
First Name
Jaelyn
Mailing Street Address
1020 Creekside Dr
Mailing City
Niagara Falls
Mailing State
NY
Mailing ZIP Code
14304-2534
Mailing Country
US
Practice Street Address
1020 Creekside Dr
Practice City
Niagara Falls
Practice State
NY
Practice ZIP Code
14304-2534
Practice Country
US
Practice Phone
(716) 951-2390
Enumeration Date
November 19, 2025
Last Updated
November 19, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
November 19, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)