National Provider Identifier
Jenna Christine Van Dusen, DO
Jenna Christine Van Dusen, DO is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Lockport, NY and a listed phone number of (716) 656-4588.
Profile Overview
- NPI
- 1811559420
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- July 03, 2019
- Last Updated
- November 25, 2024
Practice Location
- 6950 S Transit RD
- Lockport, NY 14094-6333
Phone: (716) 656-4588
Mailing Address
- 425 Essjay RD Ste 170
- Williamsville, NY 14221-8235
Specialties
- Family Medicine Physician (207Q00000X)
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1811559420
- Entity Type
- Individual
- Last Name
- Van Dusen
- First Name
- Jenna
- Middle Name
- Christine
- Name Prefix
- Dr.
- Credential
- DO
- Mailing Street Address
- 425 Essjay RD Ste 170
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8235
- Mailing Country
- US
- Mailing Phone
- (716) 630-1219
- Mailing Fax
- (716) 817-1726
- Practice Street Address
- 6950 S Transit RD
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-6333
- Practice Country
- US
- Practice Phone
- (716) 656-4588
- Practice Fax
- (716) 817-1781
- Enumeration Date
- July 03, 2019
- Last Updated
- November 25, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 25, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Family Medicine Physician (207Q00000X)