National Provider Identifier

Jennifer A. Neilson, NP

Jennifer A. Neilson, NP is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in West Seneca, NY and a listed phone number of (716) 674-2404.

NPI 1528152345West Seneca, NYPediatric Nurse Practitioner

Profile Overview

NPI
1528152345
Provider Type
Individual
Primary Specialty
Pediatric Nurse Practitioner
Enumeration Date
October 03, 2006
Last Updated
March 30, 2023

Practice Location

  • 3705 Seneca St
  • West Seneca, NY 14224-3452

Phone: (716) 674-2404

Mailing Address

  • 25 Rossiter Ave
  • Depew, NY 14043-2715

Specialties

  • Pediatric Nurse Practitioner (363LP0200X)
Full Record
NPI
1528152345
Entity Type
Individual
Last Name
Neilson
First Name
Jennifer
Middle Name
A.
Name Prefix
Mrs.
Credential
NP
Provider Other Last Name
Van Wey
Provider Other First Name
Jennifer
Provider Other Middle Name
A.
Provider Other Credential Text
NP
Provider Other Last Name Type Code
1
Mailing Street Address
25 Rossiter Ave
Mailing City
Depew
Mailing State
NY
Mailing ZIP Code
14043-2715
Mailing Country
US
Practice Street Address
3705 Seneca St
Practice City
West Seneca
Practice State
NY
Practice ZIP Code
14224-3452
Practice Country
US
Practice Phone
(716) 674-2404
Practice Fax
(716) 674-7615
Enumeration Date
October 03, 2006
Last Updated
March 30, 2023
Sex
Female
Sole Proprietor
No
Certification Date
March 30, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Nurse Practitioner (363LP0200X)