National Provider Identifier

Jillian Erica Dibble, LPN

Jillian Erica Dibble, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Corfu, NY and a listed phone number of (585) 356-6218.

NPI 1659948982Corfu, NYLicensed Practical Nurse

Profile Overview

NPI
1659948982
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 07, 2021
Last Updated
June 07, 2021

Practice Location

  • 1133 Akron RD
  • Corfu, NY 14036-9717

Phone: (585) 356-6218

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1659948982
Entity Type
Individual
Last Name
Dibble
First Name
Jillian
Middle Name
Erica
Credential
LPN
Mailing Street Address
1133 Akron RD
Mailing City
Corfu
Mailing State
NY
Mailing ZIP Code
14036-9717
Mailing Country
US
Mailing Phone
(585) 356-6218
Practice Street Address
1133 Akron RD
Practice City
Corfu
Practice State
NY
Practice ZIP Code
14036-9717
Practice Country
US
Practice Phone
(585) 356-6218
Enumeration Date
June 07, 2021
Last Updated
June 07, 2021
Sex
Female
Sole Proprietor
No
Certification Date
June 04, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)