National Provider Identifier
Jessica Nicole Wingard, RN, LDMT
Jessica Nicole Wingard, RN, LDMT is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 380-2359.
Profile Overview
- NPI
- 1376097485
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- August 05, 2016
- Last Updated
- October 06, 2020
Practice Location
- 393 Cornwall Ave
- Buffalo, NY 14215-3101
Phone: (716) 380-2359
Mailing Address
- PO Box 1151
- Buffalo, NY 14215-6151
Specialties
- Licensed Practical Nurse (164W00000X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1376097485
- Entity Type
- Individual
- Last Name
- Wingard
- First Name
- Jessica
- Middle Name
- Nicole
- Name Prefix
- MS.
- Credential
- RN, LDMT
- Mailing Street Address
- PO Box 1151
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-6151
- Mailing Country
- US
- Mailing Phone
- (716) 380-2359
- Practice Street Address
- 393 Cornwall Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3101
- Practice Country
- US
- Practice Phone
- (716) 380-2359
- Enumeration Date
- August 05, 2016
- Last Updated
- October 06, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 06, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X), Registered Nurse (163W00000X)