National Provider Identifier
Joanna Jackson
Joanna Jackson is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Buffalo, NY and a listed phone number of (716) 566-5050.
Profile Overview
- NPI
- 1659063956
- Provider Type
- Individual
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- May 24, 2023
- Last Updated
- November 14, 2023
Practice Location
- 800 Hertel Ave Ste 101
- Buffalo, NY 14207-1906
Phone: (716) 566-5050
Specialties
- Case Manager/Care Coordinator (171M00000X)
- Physical Therapist (225100000X)
Full Record
- NPI
- 1659063956
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Joanna
- Mailing Street Address
- 800 Hertel Ave Ste 101
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14207-1906
- Mailing Country
- US
- Mailing Phone
- (716) 566-5050
- Practice Street Address
- 800 Hertel Ave Ste 101
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14207-1906
- Practice Country
- US
- Practice Phone
- (716) 566-5050
- Enumeration Date
- May 24, 2023
- Last Updated
- November 14, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 14, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Case Manager/Care Coordinator (171M00000X), Physical Therapist (225100000X)