National Provider Identifier
Jenna Gallagher, PA-C
Jenna Gallagher, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 275-5276.
Profile Overview
- NPI
- 1124633201
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- September 15, 2020
- Last Updated
- May 31, 2023
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-5276
Mailing Address
- 601 Elmwood Ave Box Surg
- Rochester, NY 14642-8410
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1124633201
- Entity Type
- Individual
- Last Name
- Gallagher
- First Name
- Jenna
- Credential
- PA-C
- Provider Other Last Name
- Pease
- Provider Other First Name
- Jenna
- Provider Other Credential Text
- PA-C
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 601 Elmwood Ave Box Surg
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-8410
- Mailing Country
- US
- Mailing Phone
- (585) 275-5276
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-5276
- Practice Fax
- (585) 273-2875
- Enumeration Date
- September 15, 2020
- Last Updated
- May 31, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 31, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)