National Provider Identifier

Sandra Marcey Jacob, NP

Sandra Marcey Jacob, NP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 845-2300.

NPI 1609097914Buffalo, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1609097914
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
May 02, 2007
Last Updated
October 25, 2013

Practice Location

  • Elm And Carlton St
  • Buffalo, NY 14263-0001

Phone: (716) 845-2300

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)
Full Record
NPI
1609097914
Entity Type
Individual
Last Name
Jacob
First Name
Sandra
Middle Name
Marcey
Credential
NP
Mailing Street Address
Elm And Carlton St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14263-0001
Mailing Country
US
Mailing Phone
(716) 845-2300
Mailing Fax
(716) 845-2949
Practice Street Address
Elm And Carlton St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14263-0001
Practice Country
US
Practice Phone
(716) 845-2300
Practice Fax
(716) 845-2949
Enumeration Date
May 02, 2007
Last Updated
October 25, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X)
Other Identifiers
02877810 (NY)