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Organization
THE NURSE PRACTITIONER IN FAMILY HEALTH PRACTICE
Active
Organization
THE NURSE PRACTITIONER IN FAMILY HEALTH PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY JORDAN NP (OWNER)
(716) 997-0111
Entity
Organization
Contact information
Practice address
4085 SENECA ST, WEST SENECA, NY 14224-3000
(716) 997-0111
Mailing address
57 FAAHS DR, ORCHARD PARK, NY 14127-1204
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F345378
NYS STATE NURSE PRACTITIONER LICENSE
NY
Enumeration date
09/07/2022
Last updated
09/07/2022
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