National Provider Identifier

Jaclyn Nicole Ryan

Jaclyn Nicole Ryan is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 242-8600.

NPI 1841786407Buffalo, NYFamily Nurse Practitioner

Profile Overview

NPI
1841786407
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
July 07, 2018
Last Updated
July 19, 2018

Practice Location

  • 300 Niagara St
  • Buffalo, NY 14201

Phone: (716) 242-8600

Mailing Address

  • 155 Lawn Ave
  • Buffalo, NY 14207-1816

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1841786407
Entity Type
Individual
Last Name
Ryan
First Name
Jaclyn
Middle Name
Nicole
Name Prefix
MS.
Mailing Street Address
155 Lawn Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14207-1816
Mailing Country
US
Mailing Phone
(716) 242-8600
Practice Street Address
300 Niagara St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14201
Practice Country
US
Practice Phone
(716) 242-8600
Enumeration Date
July 07, 2018
Last Updated
July 19, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)