Organization Active NPI

Jennifer K Wilcox Nurse Practitioner in Family Health PC

  • Family Medicine Physician
  • Jamestown, NY
National Provider Identifier
1780373282
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JENNIFER K WILCOX NURSE PRACTITIONER IN FAMILY HEALTH PC
Practice address
21 E 3Rd St Ste 103
Jamestown, NY 14701-5113
Phone
(716) 969-4156
NPI assigned
May 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer K Wilcox, DNP
Title
Owner
Phone
(716) 969-4156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

21 E 3Rd St Ste 103
Jamestown, NY 14701-5113

Mailing address

21 E 3Rd St Ste 103
Jamestown, NY 14701-5113
Phone (716) 969-4156

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1780373282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 E 3RD ST STE 103",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015113",
            "telephone_number": "716-969-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E 3RD ST STE 103",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015113",
            "telephone_number": "716-969-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER K WILCOX NURSE PRACTITIONER IN FAMILY HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-969-4156",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.