National Provider Identifier
Sydney Johnstone Jakes, PNP
Sydney Johnstone Jakes, PNP is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Spencerport, NY and a listed phone number of (585) 491-0288.
Profile Overview
- NPI
- 1417738436
- Provider Type
- Individual
- Primary Specialty
- Pediatric Nurse Practitioner
- Enumeration Date
- October 06, 2023
- Last Updated
- October 06, 2023
Practice Location
- 534 Trimmer Road
- Spencerport, NY 14559
Phone: (585) 491-0288
Specialties
- Pediatric Nurse Practitioner (363LP0200X)
Full Record
- NPI
- 1417738436
- Entity Type
- Individual
- Last Name
- Jakes
- First Name
- Sydney
- Middle Name
- Johnstone
- Credential
- PNP
- Mailing Street Address
- 534 Trimmer Road
- Mailing City
- Spencerport
- Mailing State
- NY
- Mailing ZIP Code
- 14559
- Mailing Country
- US
- Mailing Phone
- (585) 491-0288
- Practice Street Address
- 534 Trimmer Road
- Practice City
- Spencerport
- Practice State
- NY
- Practice ZIP Code
- 14559
- Practice Country
- US
- Practice Phone
- (585) 491-0288
- Enumeration Date
- October 06, 2023
- Last Updated
- October 06, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- October 05, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Nurse Practitioner (363LP0200X)