National Provider Identifier
Jacquelyn B Jordan, MD
Jacquelyn B Jordan, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Buffalo, NY and a listed phone number of (716) 656-4484.
Profile Overview
- NPI
- 1780180133
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- April 04, 2018
- Last Updated
- August 15, 2022
Practice Location
- 325 Essjay RD
- Buffalo, NY 14221-8243
Phone: (716) 656-4484
Mailing Address
- 425 Essjay RD Ste 170
- Buffalo, NY 14221-8235
Specialties
- Internal Medicine Physician (207R00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Endpoints
- production@direct.buffalomedicalgroup.com
Direct Messaging Address | Buffalo Medical Group, P.C. | Buffalo, NY 14221
Full Record
- NPI
- 1780180133
- Entity Type
- Individual
- Last Name
- Jordan
- First Name
- Jacquelyn
- Middle Name
- B
- Credential
- MD
- Mailing Street Address
- 425 Essjay RD Ste 170
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8235
- Mailing Country
- US
- Mailing Phone
- (716) 630-1219
- Practice Street Address
- 325 Essjay RD
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14221-8243
- Practice Country
- US
- Practice Phone
- (716) 656-4484
- Practice Fax
- (716) 817-1740
- Enumeration Date
- April 04, 2018
- Last Updated
- August 15, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 15, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Student in an Organized Health Care Education/Training Program (390200000X)