National Provider Identifier
Jackson Tyler Teboe, FNP-C
Jackson Tyler Teboe, FNP-C is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Jamestown, NY and a listed phone number of (716) 640-2201.
Profile Overview
- NPI
- 1548954951
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- June 07, 2023
- Last Updated
- June 02, 2024
Practice Location
- 207 Foote Ave
- Jamestown, NY 14701-7077
Phone: (716) 640-2201
Specialties
- Family Nurse Practitioner (363LF0000X)
Endpoints
- jackson.teboe@upmcdirect.com
Direct Messaging Address | Pittsburgh, PA 15219
Full Record
- NPI
- 1548954951
- Entity Type
- Individual
- Last Name
- Teboe
- First Name
- Jackson
- Middle Name
- Tyler
- Name Prefix
- Mr.
- Credential
- FNP-C
- Mailing Street Address
- 207 Foote Ave
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-7077
- Mailing Country
- US
- Practice Street Address
- 207 Foote Ave
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-7077
- Practice Country
- US
- Practice Phone
- (716) 640-2201
- Enumeration Date
- June 07, 2023
- Last Updated
- June 02, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 02, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)