Individual provider · Type 1 NPI
Dennis Michael Jack, FNP
Family Nurse Practitioner · Buffalo, NY
NPI number
1659858827
Active
Practice location
462 Grider St
Buffalo, NY 14215-3021
Mailing address
6103 Woodford Dr
Lake View, NY 14085-9457
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 343352 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1659858827
Dennis Michael Jack, FNP's National Provider Identifier is 1659858827, issued on Jul 20, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Buffalo, NY. The record was last updated on May 10, 2021.