Individual
ROSE ANN R FLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
880 E 2ND ST, JAMESTOWN, NY 14701-3824
(716) 661-1590
(716) 661-1495
Mailing address
200 DUNHAM AVE, JAMESTOWN, NY 14701-2528
(716) 661-1590
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP008533
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F400333-1
NY
Other
Enumeration date
07/21/2006
Last updated
12/02/2015
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