National Provider Identifier
Janice Mortimer Pennington, NP
Janice Mortimer Pennington, NP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 887-4798.
Profile Overview
- NPI
- 1407096449
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- March 04, 2009
- Last Updated
- March 24, 2009
Practice Location
- 3 Gates Cir
- Buffalo, NY 14209-1120
Phone: (716) 887-4798
Mailing Address
- 908 Niagara Falls Blvd
- Ste 208
- N Tonawanda, NY 14120-2019
Specialties
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1407096449
- Entity Type
- Individual
- Last Name
- Pennington
- First Name
- Janice
- Middle Name
- Mortimer
- Credential
- NP
- Mailing Street Address
- 908 Niagara Falls Blvd
- Mailing Address Line 2
- Ste 208
- Mailing City
- N Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-2019
- Mailing Country
- US
- Mailing Phone
- (716) 692-3302
- Mailing Fax
- (716) 213-0935
- Practice Street Address
- 3 Gates Cir
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-1120
- Practice Country
- US
- Practice Phone
- (716) 887-4798
- Practice Fax
- (716) 887-4941
- Enumeration Date
- March 04, 2009
- Last Updated
- March 24, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X)