Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chautauqua Nurse Practitioner in Psychiatry PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1073403952

Chautauqua Nurse Practitioner in Psychiatry PLLC is a Psychiatric/Mental Health Nurse Practitioner in Jamestown, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

779 Fairmount Ave
Jamestown, NY 14701-2608
Phone: (716) 499-4365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1073403952
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laiken Latimer — Psychiatric Nurse Practitioner · (716) 499-4365
NPI enumeratedJuly 3, 2025
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025
Mailing address2854 Carpenter Pringle Rd, Ashville, NY 14710-9763

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