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JENNIFER K. WILCOX, NURSE PRACTITIONER IN FAMILY HEALTH, P.C.

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Company Details

Name: JENNIFER K. WILCOX, NURSE PRACTITIONER IN FAMILY HEALTH, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Mar 2023 (2 years ago)
Entity Number: 6767859
ZIP code: 14733
County: Chautauqua
Place of Formation: New York
Address: 445 west avenue, FALCONER, NY, United States, 14733

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the PROFESSIONAL CORPOration DOS Process Agent 445 west avenue, FALCONER, NY, United States, 14733

National Provider Identifier

NPI Number:
1780373282
Certification Date:
2023-05-05

Authorized Person:

Name:
JENNIFER K WILCOX
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
230317003350 2023-03-16 CERTIFICATE OF INCORPORATION 2023-03-16

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State