| Jennifer K Wilcox Nurse Practitioner In Family Health Pc | |
|
21 E 3rd St Ste 103 Jamestown NY 14701-5113 | |
| (716) 969-4156 | |
| Not Available |
| Full Name | Jennifer K Wilcox Nurse Practitioner In Family Health Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 21 E 3rd St Ste 103, Jamestown, New York |
| Authorized Official Name and Position | Jennifer K Wilcox (OWNER) |
| Authorized Official Contact | 7169694156 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer K Wilcox Nurse Practitioner In Family Health Pc 21 E 3rd St Ste 103 Jamestown NY 14701-5113 Ph: (716) 969-4156 | Jennifer K Wilcox Nurse Practitioner In Family Health Pc 21 E 3rd St Ste 103 Jamestown NY 14701-5113 Ph: (716) 969-4156 |
| NPI Number | 1780373282 |
|---|---|
| Provider Enumeration Date | 05/02/2023 |
| Last Update Date | 05/05/2023 |
| Medicare PECOS PAC ID | 5890153183 |
|---|---|
| Medicare Enrollment ID | O20230619000994 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780373282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer Kay Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134438567 PECOS PAC ID: 1355689571 Enrollment ID: I20190214000526 |
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