National Provider Identifier
Jennifer Rae Kelly Diers, LPN
Jennifer Rae Kelly Diers, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Gerry, NY and a listed phone number of (716) 607-0146.
Profile Overview
- NPI
- 1851698708
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- February 11, 2011
- Last Updated
- February 11, 2011
Practice Location
- 4972 Route 60
- Gerry, NY 14740-9561
Phone: (716) 607-0146
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1851698708
- Entity Type
- Individual
- Last Name
- Diers
- First Name
- Jennifer
- Middle Name
- Rae Kelly
- Credential
- LPN
- Mailing Street Address
- 4972 Route 60
- Mailing City
- Gerry
- Mailing State
- NY
- Mailing ZIP Code
- 14740-9561
- Mailing Country
- US
- Mailing Phone
- (716) 607-0146
- Practice Street Address
- 4972 Route 60
- Practice City
- Gerry
- Practice State
- NY
- Practice ZIP Code
- 14740-9561
- Practice Country
- US
- Practice Phone
- (716) 607-0146
- Enumeration Date
- February 11, 2011
- Last Updated
- February 11, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)