National Provider Identifier

Alexis J Packman, FNP

Alexis J Packman, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Tonawanda, NY and a listed phone number of (716) 541-0234.

NPI 1710501762Tonawanda, NYFamily Nurse Practitioner

Profile Overview

NPI
1710501762
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
June 05, 2020
Last Updated
April 21, 2022

Practice Location

  • 1751 Sheridan Dr
  • Tonawanda, NY 14223-1211

Phone: (716) 541-0234

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1710501762
Entity Type
Individual
Last Name
Packman
First Name
Alexis
Middle Name
J
Credential
FNP
Mailing Street Address
1751 Sheridan Dr
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14223-1211
Mailing Country
US
Mailing Phone
(716) 541-0234
Practice Street Address
1751 Sheridan Dr
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14223-1211
Practice Country
US
Practice Phone
(716) 541-0234
Enumeration Date
June 05, 2020
Last Updated
April 21, 2022
Sex
Female
Sole Proprietor
No
Certification Date
April 21, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)