Provider Demographics
NPI:1538934104
Name:BALDWIN, JAMIE BETH (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:BETH
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8755 WOLCOTT RD
Mailing Address - Street 2:
Mailing Address - City:CLARENCE CENTER
Mailing Address - State:NY
Mailing Address - Zip Code:14032-9122
Mailing Address - Country:US
Mailing Address - Phone:716-844-1530
Mailing Address - Fax:
Practice Address - Street 1:5851 MAIN ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-5799
Practice Address - Country:US
Practice Address - Phone:716-932-6080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-23
Last Update Date:2023-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY353135363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily