National Provider Identifier
Tamika Marie Jackson, NP-C
Tamika Marie Jackson, NP-C is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 995-4450.
Profile Overview
- NPI
- 1619344439
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- August 27, 2015
- Last Updated
- October 25, 2019
Practice Location
- 701 Seneca St Ste 646C
- Buffalo, NY 14210-1351
Phone: (716) 995-4450
Mailing Address
- 1801 E Langsford RD
- Lees Summit, MO 64063-6323
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1619344439
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Tamika
- Middle Name
- Marie
- Name Prefix
- MS.
- Credential
- NP-C
- Mailing Street Address
- 1801 E Langsford RD
- Mailing City
- Lees Summit
- Mailing State
- MO
- Mailing ZIP Code
- 64063-6323
- Mailing Country
- US
- Mailing Phone
- (816) 554-0403
- Practice Street Address
- 701 Seneca St Ste 646C
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14210-1351
- Practice Country
- US
- Practice Phone
- (716) 995-4450
- Enumeration Date
- August 27, 2015
- Last Updated
- October 25, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)