National Provider Identifier
Jessica M Kostrewa, NP
Jessica M Kostrewa, NP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Lockport, NY and a listed phone number of (716) 845-3400.
Profile Overview
- NPI
- 1588066468
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- September 22, 2014
- Last Updated
- October 09, 2025
Practice Location
- 6000 Brockton Dr
- Lockport, NY 14094-9273
Phone: (716) 845-3400
Mailing Address
- 199 Park Club Ln Ste 500
- Williamsville, NY 14221-5269
Specialties
- Nurse Practitioner (363L00000X)
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1588066468
- Entity Type
- Individual
- Last Name
- Kostrewa
- First Name
- Jessica
- Middle Name
- M
- Credential
- NP
- Provider Other Last Name
- Vail
- Provider Other First Name
- Jessica
- Provider Other Middle Name
- M
- Provider Other Credential Text
- NP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 199 Park Club Ln Ste 500
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5269
- Mailing Country
- US
- Mailing Phone
- (716) 845-1300
- Practice Street Address
- 6000 Brockton Dr
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-9273
- Practice Country
- US
- Practice Phone
- (716) 845-3400
- Practice Fax
- (716) 438-1430
- Enumeration Date
- September 22, 2014
- Last Updated
- October 09, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 09, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X), Adult Health Nurse Practitioner (363LA2200X)
- Other Identifiers
- 04039149 (NY)