Individual
JAY KYLE ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
231 GRANITE RUN DR, LANCASTER, PA 17601-6823
(717) 560-4200
(717) 560-4159
Mailing address
1021 BROADWAY ST, BUFFALO, NY 14212-1460
(716) 529-3020
(716) 529-3040
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP018058
PA
363LF0000X
Family Nurse Practitioner
Primary
346885
NY
Other
Enumeration date
11/08/2017
Last updated
01/11/2021
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