National Provider Identifier

Jessica Bielawa, AGPCNP-BC

Jessica Bielawa, AGPCNP-BC is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Corfu, NY and a listed phone number of (585) 599-6446.

NPI 1376278465Corfu, NYNurse Practitioner

Profile Overview

NPI
1376278465
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
July 21, 2022
Last Updated
July 21, 2022

Practice Location

  • 860 Main RD
  • Corfu, NY 14036-9753

Phone: (585) 599-6446

Mailing Address

  • 11466 Cary RD
  • Alden, NY 14004-9597

Specialties

  • Nurse Practitioner (363L00000X)
Full Record
NPI
1376278465
Entity Type
Individual
Last Name
Bielawa
First Name
Jessica
Credential
AGPCNP-BC
Mailing Street Address
11466 Cary RD
Mailing City
Alden
Mailing State
NY
Mailing ZIP Code
14004-9597
Mailing Country
US
Practice Street Address
860 Main RD
Practice City
Corfu
Practice State
NY
Practice ZIP Code
14036-9753
Practice Country
US
Practice Phone
(585) 599-6446
Enumeration Date
July 21, 2022
Last Updated
July 21, 2022
Sex
Female
Sole Proprietor
No
Certification Date
July 21, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X)