person
Mr. Jacob Medina, LPN
Licensed Practical Nurse in Buffalo, New York
NPI 1245585470

Jacob Medina is a Licensed Practical Nurse based in Buffalo, NY. Jacob Medina practices in Buffalo, NY and has the professional credentials of LPN. The NPI Number for Jacob Medina is 1245585470 and holds a License No. 244459 (New York).

The current practice location address for Jacob Medina is 85 Gelston St, Buffalo, NY and can be reached out via phone at 716-533-7175.

Location: 85 Gelston St, Buffalo, NY, 14213-1524
person
Provider Profile Details
NPI Number
1245585470
Provider Name
Jacob Medina
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
85 Gelston St, Buffalo, NY, 14213-1524
Phone Number
716-533-7175
Fax Number
Provider Enumeration Date
07/13/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
244459 01 NY NURSING LICENSE
institution
Provider Business Practice Location Address Details
Address
85 Gelston St
City
State
Zip
14213-1524
Phone Number
716-533-7175
Fax Number
person
Provider Business Mailing Address Details
Address
85 Gelston St
City
State
Zip
14213-1524
Phone Number
716-533-7175
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
244459 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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