National Provider Identifier
Jessica Frederick, PMHNP-BC
Jessica Frederick, PMHNP-BC is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Amherst, NY and a listed phone number of (716) 589-1411.
Profile Overview
- NPI
- 1346815396
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- May 21, 2021
- Last Updated
- July 28, 2021
Practice Location
- 1412 Sweet Home RD Ste 3-5
- Amherst, NY 14228-2795
Phone: (716) 589-1411
Mailing Address
- 255 Delaware Ave Ste 300
- Buffalo, NY 14202-2017
Specialties
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1346815396
- Entity Type
- Individual
- Last Name
- Frederick
- First Name
- Jessica
- Credential
- PMHNP-BC
- Mailing Street Address
- 255 Delaware Ave Ste 300
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-2017
- Mailing Country
- US
- Mailing Phone
- (716) 842-0440
- Mailing Fax
- (716) 842-4069
- Practice Street Address
- 1412 Sweet Home RD Ste 3-5
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14228-2795
- Practice Country
- US
- Practice Phone
- (716) 589-1411
- Enumeration Date
- May 21, 2021
- Last Updated
- July 28, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- July 28, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X)