National Provider Identifier

Amanda Ann Jakubec, RN FNP

Amanda Ann Jakubec, RN FNP is listed in the NPPES registry with a primary specialty of Registered Nurse in Middleport, NY and a listed phone number of (716) 930-4443.

NPI 1497521058Middleport, NYRegistered Nurse

Profile Overview

NPI
1497521058
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
November 27, 2023
Last Updated
November 27, 2023

Practice Location

  • 46 State St
  • Middleport, NY 14105-1118

Phone: (716) 930-4443

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1497521058
Entity Type
Individual
Last Name
Jakubec
First Name
Amanda
Middle Name
Ann
Name Prefix
Mrs.
Credential
RN FNP
Provider Other Last Name
McDonald
Provider Other First Name
Amanda
Provider Other Middle Name
Ann
Provider Other Name Prefix Text
Miss
Provider Other Credential Text
RN
Provider Other Last Name Type Code
1
Mailing Street Address
46 State St
Mailing City
Middleport
Mailing State
NY
Mailing ZIP Code
14105-1118
Mailing Country
US
Mailing Phone
(716) 930-4443
Practice Street Address
46 State St
Practice City
Middleport
Practice State
NY
Practice ZIP Code
14105-1118
Practice Country
US
Practice Phone
(716) 930-4443
Enumeration Date
November 27, 2023
Last Updated
November 27, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
November 26, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)