Healthcare Provider Details

I. General information

NPI: 1235178138
Provider Name (Legal Business Name): HEIDI J STRICKLAND FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 12/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 FOOTE AVE
JAMESTOWN NY
14701-8204
US

IV. Provider business mailing address

PO BOX 41
JAMESTOWN NY
14702-0041
US

V. Phone/Fax

Practice location:
  • Phone: 716-487-2880
  • Fax: 716-483-3030
Mailing address:
  • Phone: 716-487-1124
  • Fax: 716-487-2488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF330152
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: