Individual
MRS. AMANDA ANN JAKUBEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN FNP
Contact information
Practice address
46 STATE ST, MIDDLEPORT, NY 14105-1118
(716) 930-4443
Mailing address
46 STATE ST, MIDDLEPORT, NY 14105-1118
(716) 930-4443
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
573288
NY
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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