National Provider Identifier
Jennifer Lynn Noble, PA
Jennifer Lynn Noble, PA is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Buffalo, NY and a listed phone number of (716) 845-1300.
Profile Overview
- NPI
- 1033167127
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- May 04, 2006
- Last Updated
- October 13, 2021
Practice Location
- Elm And Carlton St
- Buffalo, NY 14263-0001
Phone: (716) 845-1300
Mailing Address
- 216 Coventry RD
- Tonawanda, NY 14217-1136
Specialties
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1033167127
- Entity Type
- Individual
- Last Name
- Noble
- First Name
- Jennifer
- Middle Name
- Lynn
- Name Prefix
- Mrs.
- Credential
- PA
- Provider Other Last Name
- Odell
- Provider Other First Name
- Jennifer
- Provider Other Middle Name
- Lynn
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 216 Coventry RD
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14217-1136
- Mailing Country
- US
- Mailing Phone
- (716) 908-1371
- Practice Street Address
- Elm And Carlton St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14263-0001
- Practice Country
- US
- Practice Phone
- (716) 845-1300
- Enumeration Date
- May 04, 2006
- Last Updated
- October 13, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 13, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)