Individual
DONNA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
22 ORGAN CRES, BUFFALO, NY 14224-1616
(716) 861-5422
(716) 675-9775
Mailing address
22 ORGAN CRES, BUFFALO, NY 14224-1616
(716) 861-5422
(716) 675-9775
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
352798
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F381091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026903101
UNIVERA
NY
01
—
000560903001
BC/BS
NY
05
—
02581982
—
NY
01
—
050317000095
FIDELIS
NY
01
—
1020912030001
PA MEDICAID
NY
01
—
9590212
IHA
NY
Enumeration date
10/21/2006
Last updated
07/19/2022
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