National Provider Identifier
Jamie L Koban, PNP
Jamie L Koban, PNP is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Cheektowaga, NY and a listed phone number of (716) 893-7337.
Profile Overview
- NPI
- 1821226085
- Provider Type
- Individual
- Primary Specialty
- Pediatric Nurse Practitioner
- Enumeration Date
- June 26, 2009
- Last Updated
- December 02, 2013
Practice Location
- 2625 Harlem RD
- Suite 210
- Cheektowaga, NY 14225-4031
Phone: (716) 893-7337
Specialties
- Pediatric Nurse Practitioner (363LP0200X)
Full Record
- NPI
- 1821226085
- Entity Type
- Individual
- Last Name
- Koban
- First Name
- Jamie
- Middle Name
- L
- Credential
- PNP
- Mailing Street Address
- 2625 Harlem RD
- Mailing Address Line 2
- Suite 210
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-4031
- Mailing Country
- US
- Mailing Phone
- (716) 893-7337
- Mailing Fax
- (716) 893-7699
- Practice Street Address
- 2625 Harlem RD
- Practice Address Line 2
- Suite 210
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-4031
- Practice Country
- US
- Practice Phone
- (716) 893-7337
- Practice Fax
- (716) 893-7699
- Enumeration Date
- June 26, 2009
- Last Updated
- December 02, 2013
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Nurse Practitioner (363LP0200X)
- Other Identifiers
- 03121359 (NY)