Healthcare Provider Details

I. General information

NPI: 1497172159
Provider Name (Legal Business Name): ALISON LOUISE ESPIN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2014
Last Update Date: 03/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E 4TH ST
JAMESTOWN NY
14701-5340
US

IV. Provider business mailing address

2505 CARLSON RD
JAMESTOWN NY
14701-9351
US

V. Phone/Fax

Practice location:
  • Phone: 716-661-8111
  • Fax: 716-661-8171
Mailing address:
  • Phone: 716-661-8111
  • Fax: 716-661-8171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number22-646084
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: