National Provider Identifier

Jennifer Leigh Boland, LPN

Jennifer Leigh Boland, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Webster, NY and a listed phone number of (585) 469-5123.

NPI 1417550328Webster, NYLicensed Practical Nurse

Profile Overview

NPI
1417550328
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 21, 2020
Last Updated
November 21, 2020

Practice Location

  • 253 Colonial Dr
  • Webster, NY 14580-1443

Phone: (585) 469-5123

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1417550328
Entity Type
Individual
Last Name
Boland
First Name
Jennifer
Middle Name
Leigh
Name Prefix
Mrs.
Credential
LPN
Mailing Street Address
253 Colonial Dr
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-1443
Mailing Country
US
Mailing Phone
(585) 469-5123
Practice Street Address
253 Colonial Dr
Practice City
Webster
Practice State
NY
Practice ZIP Code
14580-1443
Practice Country
US
Practice Phone
(585) 469-5123
Enumeration Date
November 21, 2020
Last Updated
November 21, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
November 21, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)