National Provider Identifier

Janessa Annis, PA-C

Janessa Annis, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Salamanca, NY and a listed phone number of (716) 945-5894.

NPI 1407692858Salamanca, NYPhysician Assistant

Profile Overview

NPI
1407692858
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
July 05, 2024
Last Updated
November 19, 2025

Practice Location

  • 987 R C Hoag Dr
  • Salamanca, NY 14779-1365

Phone: (716) 945-5894

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1407692858
Entity Type
Individual
Last Name
Annis
First Name
Janessa
Credential
PA-C
Provider Other Last Name
Annis
Provider Other First Name
Janessa
Provider Other Middle Name
Jean
Provider Other Credential Text
PA-C
Provider Other Last Name Type Code
5
Mailing Street Address
987 R C Hoag Dr
Mailing City
Salamanca
Mailing State
NY
Mailing ZIP Code
14779-1365
Mailing Country
US
Mailing Phone
(716) 945-5894
Mailing Fax
(716) 242-6345
Practice Street Address
987 R C Hoag Dr
Practice City
Salamanca
Practice State
NY
Practice ZIP Code
14779-1365
Practice Country
US
Practice Phone
(716) 945-5894
Practice Fax
(716) 242-6345
Enumeration Date
July 05, 2024
Last Updated
November 19, 2025
Sex
Female
Sole Proprietor
No
Certification Date
November 19, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
08162512 (NY)