National Provider Identifier

Jailyn Dickson

Jailyn Dickson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 256-8659.

NPI 1740889195Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1740889195
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 17, 2020
Last Updated
October 17, 2020

Practice Location

  • 298 E Delavan Ave
  • Buffalo, NY 14208-1313

Phone: (716) 256-8659

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1740889195
Entity Type
Individual
Last Name
Dickson
First Name
Jailyn
Mailing Street Address
298 E Delavan Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14208-1313
Mailing Country
US
Mailing Phone
(716) 256-8659
Practice Street Address
298 E Delavan Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14208-1313
Practice Country
US
Practice Phone
(716) 256-8659
Enumeration Date
October 17, 2020
Last Updated
October 17, 2020
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
October 17, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)