Individual
JILL NESTICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
ELM AND CARLTON STREETS, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-8935
Mailing address
ELM AND CARLTON STREETS, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-8935
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
301504
NY
363LA2200X
Adult Health Nurse Practitioner
F301504
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01691881
—
NY
Enumeration date
11/22/2005
Last updated
02/02/2021
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