National Provider Identifier

Jacob Troy Wilkins, REGISTERED NURSE

Jacob Troy Wilkins, REGISTERED NURSE is listed in the NPPES registry with a primary specialty of Home Health Registered Nurse in Fredonia, NY and a listed phone number of (716) 485-3095.

NPI 1588973853Fredonia, NYHome Health Registered Nurse

Profile Overview

NPI
1588973853
Provider Type
Individual
Primary Specialty
Home Health Registered Nurse
Enumeration Date
October 04, 2010
Last Updated
August 17, 2022

Practice Location

  • 21 Leverett St
  • Fredonia, NY 14063-1724

Phone: (716) 485-3095

Specialties

  • Home Health Registered Nurse (163WH0200X)
Full Record
NPI
1588973853
Entity Type
Individual
Last Name
Wilkins
First Name
Jacob
Middle Name
Troy
Name Prefix
Mr.
Credential
REGISTERED NURSE
Mailing Street Address
21 Leverett St
Mailing City
Fredonia
Mailing State
NY
Mailing ZIP Code
14063-1724
Mailing Country
US
Mailing Phone
(716) 485-3095
Practice Street Address
21 Leverett St
Practice City
Fredonia
Practice State
NY
Practice ZIP Code
14063-1724
Practice Country
US
Practice Phone
(716) 485-3095
Enumeration Date
October 04, 2010
Last Updated
August 17, 2022
Sex
Male
Sole Proprietor
No
Certification Date
August 17, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Home Health Registered Nurse (163WH0200X)