Provider Demographics
NPI:1962041228
Name:SIERANT, JENNIFER MARY
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MARY
Last Name:SIERANT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3342 LOCKPORT OLCOTT RD
Mailing Address - Street 2:
Mailing Address - City:NEWFANE
Mailing Address - State:NY
Mailing Address - Zip Code:14108-9604
Mailing Address - Country:US
Mailing Address - Phone:716-239-2188
Mailing Address - Fax:
Practice Address - Street 1:3342 LOCKPORT OLCOTT RD
Practice Address - Street 2:
Practice Address - City:NEWFANE
Practice Address - State:NY
Practice Address - Zip Code:14108-9604
Practice Address - Country:US
Practice Address - Phone:716-239-2188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN