Individual
TABATHA FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 DUNHAM AVE, JAMESTOWN, NY 14701-2528
(716) 661-1400
Mailing address
890 E 2ND ST, JAMESTOWN, NY 14701-3824
(716) 661-1511
(716) 661-1534
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
546888
NY
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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