Individual
JESSE ERIN DEWATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1540 MAPLE RD, WILLIAMSVILLE, NY 14221-3647
(716) 568-3600
Mailing address
7382 BISHOP RD, APPLETON, NY 14008-9633
(716) 289-7120
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F310189
NY
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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