Individual
MRS. JENNIFER A. NEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3705 SENECA ST, WEST SENECA, NY 14224-3452
(716) 674-2404
(716) 674-7615
Mailing address
25 ROSSITER AVE, DEPEW, NY 14043-2715
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
381667
NY
Other
Enumeration date
10/03/2006
Last updated
03/30/2023
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