Individual
JASKIRAN KAUR NAGRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 444-4035
Mailing address
65 PROMENADE LN, AMHERST, NY 14221-1924
(716) 444-4035
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403299-01
NY
Other
Enumeration date
12/19/2020
Last updated
12/19/2020
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