Individual
JENNA ANNE RICHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
571 TERRACE BLVD, DEPEW, NY 14043-3610
(716) 683-4196
(716) 646-0763
Mailing address
4855 CAMP RD STE 100, HAMBURG, NY 14075-2600
(716) 646-1084
(716) 646-0763
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310797
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310797
NEW YORK STATE DEPT OF EDUCATION
NY
Enumeration date
08/19/2022
Last updated
08/19/2022
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