National Provider Identifier

Jessica Mancuso, FNP

Jessica Mancuso, FNP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Williamsville, NY and a listed phone number of (716) 831-2600.

NPI 1437679834Williamsville, NYNurse Practitioner

Profile Overview

NPI
1437679834
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
June 27, 2017
Last Updated
November 22, 2021

Practice Location

  • 297 Spindrift Dr
  • Williamsville, NY 14221-7894

Phone: (716) 831-2600

Specialties

  • Nurse Practitioner (363L00000X)
Full Record
NPI
1437679834
Entity Type
Individual
Last Name
Mancuso
First Name
Jessica
Credential
FNP
Mailing Street Address
297 Spindrift Dr
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-7894
Mailing Country
US
Mailing Phone
(716) 831-2600
Practice Street Address
297 Spindrift Dr
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-7894
Practice Country
US
Practice Phone
(716) 831-2600
Enumeration Date
June 27, 2017
Last Updated
November 22, 2021
Sex
Female
Sole Proprietor
No
Certification Date
November 22, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X)
Other Identifiers
04831605 (NY)