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

Jessica Lynn Hafezi

Individual provider Nurse Practitioner · NPI 1003380528

Jessica Lynn Hafezi is a Nurse Practitioner in Buffalo, New York. Qualified in 2018, 8 years ago. Practices with Roswell Park Cancer Institute, a 489-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2019
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Practice location Partly verified

Some contact details are missing from the federal record.

Elm And Carlton Streets
Buffalo, NY 14263-0001
Phone: (716) 845-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 343713 (NY)

Record details

NPI number1003380528
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 17, 2019
Last updated in NPPESJanuary 14, 2021
Certification dateJanuary 14, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Roswell Park Cancer Institute — 489 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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