Individual provider · Type 1 NPI
Jonathan Mizgala, DNP, FNP-BC
Psychiatric/Mental Health Nurse Practitioner · Ilion, NY
NPI number
1164968434
Active
Practice location
55 Central Plz Ste B
Ilion, NY 13357-1753
Fax (315) 363-2549
Mailing address
1 S Washington St Ste 300
Rochester, NY 14614-1134
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | F342409 (NY) |
| Nurse Practitioner | 363L00000X | 342409 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 405393 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
Other psychiatric/mental health nurse practitioner providers in Ilion
About NPI 1164968434
Jonathan Mizgala, DNP, FNP-BC's National Provider Identifier is 1164968434, issued on Jan 11, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Ilion, NY. The record was last updated on Oct 7, 2026.