National Provider Identifier

Amy Jean

Amy Jean is listed in the NPPES registry with a primary specialty of Registered Nurse First Assistant in Williamsville, NY and a listed phone number of (716) 568-6670.

NPI 1598512964Williamsville, NYRegistered Nurse First Assistant

Profile Overview

NPI
1598512964
Provider Type
Individual
Primary Specialty
Registered Nurse First Assistant
Enumeration Date
May 03, 2024
Last Updated
May 03, 2024

Practice Location

  • 1540 Maple RD
  • Williamsville, NY 14221-3698

Phone: (716) 568-6670

Mailing Address

  • 11109 Lyndale Ln
  • Elma, NY 14059-9788

Specialties

  • Registered Nurse First Assistant (163WR0006X)
Full Record
NPI
1598512964
Entity Type
Individual
Last Name
Jean
First Name
Amy
Provider Other Last Name
Petersen
Provider Other First Name
Amy
Provider Other Credential Text
RNFA
Provider Other Last Name Type Code
1
Mailing Street Address
11109 Lyndale Ln
Mailing City
Elma
Mailing State
NY
Mailing ZIP Code
14059-9788
Mailing Country
US
Mailing Phone
(716) 989-7828
Practice Street Address
1540 Maple RD
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-3698
Practice Country
US
Practice Phone
(716) 568-6670
Enumeration Date
May 03, 2024
Last Updated
May 03, 2024
Sex
Female
Sole Proprietor
No
Certification Date
May 03, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse First Assistant (163WR0006X)