National Provider Identifier
Jessica Lynn Wight
Jessica Lynn Wight is listed in the NPPES registry with a primary specialty of Specialist in N Tonawanda, NY and a listed phone number of (716) 692-1049.
Profile Overview
- NPI
- 1194088799
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 19, 2012
- Last Updated
- June 19, 2012
Practice Location
- 603 Division St
- N Tonawanda, NY 14120-4461
Phone: (716) 692-1049
Mailing Address
- 7592 Scotland RD
- Akron, NY 14001-9606
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1194088799
- Entity Type
- Individual
- Last Name
- Wight
- First Name
- Jessica
- Middle Name
- Lynn
- Mailing Street Address
- 7592 Scotland RD
- Mailing City
- Akron
- Mailing State
- NY
- Mailing ZIP Code
- 14001-9606
- Mailing Country
- US
- Mailing Phone
- (716) 542-9619
- Practice Street Address
- 603 Division St
- Practice City
- N Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14120-4461
- Practice Country
- US
- Practice Phone
- (716) 692-1049
- Enumeration Date
- June 19, 2012
- Last Updated
- June 19, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)