National Provider Identifier

Jennifer Proctor, MD

Jennifer Proctor, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Williamsville, NY and a listed phone number of (716) 688-9641.

NPI 1639735186Williamsville, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1639735186
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
May 09, 2019
Last Updated
May 09, 2019

Practice Location

  • 850 Hopkins RD
  • Williamsville, NY 14221-1729

Phone: (716) 688-9641

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1639735186
Entity Type
Individual
Last Name
Proctor
First Name
Jennifer
Name Prefix
Dr.
Credential
MD
Mailing Street Address
850 Hopkins RD
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-1729
Mailing Country
US
Mailing Phone
(716) 688-9641
Practice Street Address
850 Hopkins RD
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-1729
Practice Country
US
Practice Phone
(716) 688-9641
Enumeration Date
May 09, 2019
Last Updated
May 09, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)