National Provider Identifier

Constance McCracken

Constance McCracken is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Jamestown, NY and a listed phone number of (716) 661-1059.

NPI 1730828724Jamestown, NYLicensed Practical Nurse

Profile Overview

NPI
1730828724
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 31, 2022
Last Updated
May 31, 2022

Practice Location

  • 880 E 2Nd St
  • Jamestown, NY 14701-3824

Phone: (716) 661-1059

Mailing Address

  • 200 Dunham Ave
  • Jamestown, NY 14701-2528

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1730828724
Entity Type
Individual
Last Name
McCracken
First Name
Constance
Mailing Street Address
200 Dunham Ave
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-2528
Mailing Country
US
Practice Street Address
880 E 2Nd St
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-3824
Practice Country
US
Practice Phone
(716) 661-1059
Enumeration Date
May 31, 2022
Last Updated
May 31, 2022
Sex
Female
Sole Proprietor
No
Certification Date
May 31, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)