National Provider Identifier
Jacquelyn Mirba Danna, FNP
Jacquelyn Mirba Danna, FNP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 845-2300.
Profile Overview
- NPI
- 1366963951
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- July 05, 2017
- Last Updated
- January 06, 2021
Practice Location
- Elm And Carlton Streets
- Buffalo, NY 14263-0001
Phone: (716) 845-2300
Mailing Address
- PO Box 4806
- Queensbury, NY 12804-0806
Specialties
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1366963951
- Entity Type
- Individual
- Last Name
- Danna
- First Name
- Jacquelyn
- Middle Name
- Mirba
- Name Prefix
- Mrs.
- Credential
- FNP
- Provider Other Last Name
- Crawford
- Provider Other First Name
- Jacquelyn
- Provider Other Middle Name
- Mirba
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- PO Box 4806
- Mailing City
- Queensbury
- Mailing State
- NY
- Mailing ZIP Code
- 12804-0806
- Mailing Country
- US
- Practice Street Address
- Elm And Carlton Streets
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14263-0001
- Practice Country
- US
- Practice Phone
- (716) 845-2300
- Enumeration Date
- July 05, 2017
- Last Updated
- January 06, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 06, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X)