National Provider Identifier
Jordan Lianna Neudecker, FNP-BC
Jordan Lianna Neudecker, FNP-BC is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Amherst, NY and a listed phone number of (716) 250-3096.
Profile Overview
- NPI
- 1679926406
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- July 17, 2016
- Last Updated
- February 12, 2020
Practice Location
- 3980 Sheridan Dr
- Suite 200
- Amherst, NY 14226
Phone: (716) 250-3096
Mailing Address
- 3980 Sheridan Dr
- Suite 200
- Amherst, NY 14226-1727
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1679926406
- Entity Type
- Individual
- Last Name
- Neudecker
- First Name
- Jordan
- Middle Name
- Lianna
- Credential
- FNP-BC
- Provider Other Last Name
- Trigilio
- Provider Other First Name
- Jordan
- Provider Other Middle Name
- Lianna
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 3980 Sheridan Dr
- Mailing Address Line 2
- Suite 200
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-1727
- Mailing Country
- US
- Mailing Phone
- (716) 250-2000
- Practice Street Address
- 3980 Sheridan Dr
- Practice Address Line 2
- Suite 200
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226
- Practice Country
- US
- Practice Phone
- (716) 250-3096
- Enumeration Date
- July 17, 2016
- Last Updated
- February 12, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 12, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)