National Provider Identifier

Jeffrey Leroy Wisley

Jeffrey Leroy Wisley is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Batavia, NY and a listed phone number of (585) 813-3922.

NPI 1699031229Batavia, NYLicensed Practical Nurse

Profile Overview

NPI
1699031229
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 09, 2012
Last Updated
April 09, 2012

Practice Location

  • 5620 East Main Street RD Lot 6
  • Batavia, NY 14020

Phone: (585) 813-3922

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1699031229
Entity Type
Individual
Last Name
Wisley
First Name
Jeffrey
Middle Name
Leroy
Mailing Street Address
5620 East Main Street RD Lot 6
Mailing City
Batavia
Mailing State
NY
Mailing ZIP Code
14020
Mailing Country
US
Mailing Phone
(585) 813-3922
Practice Street Address
5620 East Main Street RD Lot 6
Practice City
Batavia
Practice State
NY
Practice ZIP Code
14020
Practice Country
US
Practice Phone
(585) 813-3922
Enumeration Date
April 09, 2012
Last Updated
April 09, 2012
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)