National Provider Identifier

Jesse Erin Dewaters, NP

Jesse Erin Dewaters, NP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Williamsville, NY and a listed phone number of (716) 568-3600.

NPI 1578137584Williamsville, NYNurse Practitioner

Profile Overview

NPI
1578137584
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
May 14, 2021
Last Updated
May 14, 2021

Practice Location

  • 1540 Maple RD
  • Williamsville, NY 14221-3647

Phone: (716) 568-3600

Mailing Address

  • 7382 Bishop RD
  • Appleton, NY 14008-9633

Specialties

  • Nurse Practitioner (363L00000X)
Full Record
NPI
1578137584
Entity Type
Individual
Last Name
Dewaters
First Name
Jesse
Middle Name
Erin
Credential
NP
Mailing Street Address
7382 Bishop RD
Mailing City
Appleton
Mailing State
NY
Mailing ZIP Code
14008-9633
Mailing Country
US
Mailing Phone
(716) 289-7120
Practice Street Address
1540 Maple RD
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-3647
Practice Country
US
Practice Phone
(716) 568-3600
Enumeration Date
May 14, 2021
Last Updated
May 14, 2021
Sex
Female
Sole Proprietor
No
Certification Date
May 14, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X)