National Provider Identifier
Jessica Elise Brown, PA
Jessica Elise Brown, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Kenmore, NY and a listed phone number of (716) 447-6100.
Profile Overview
- NPI
- 1477513034
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- March 27, 2006
- Last Updated
- July 10, 2018
Practice Location
- 2950 Elmwood Ave
- Kenmore, NY 14217
Phone: (716) 447-6100
Mailing Address
- 908 Niagara Falls Blvd Ste 208
- North Tonawanda, NY 14120-2019
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1477513034
- Entity Type
- Individual
- Last Name
- Brown
- First Name
- Jessica
- Middle Name
- Elise
- Credential
- PA
- Provider Other Last Name
- Lightner
- Provider Other First Name
- Jessica
- Provider Other Middle Name
- Elise
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 908 Niagara Falls Blvd Ste 208
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-2019
- Mailing Country
- US
- Mailing Phone
- (716) 692-3302
- Mailing Fax
- (716) 692-4342
- Practice Street Address
- 2950 Elmwood Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217
- Practice Country
- US
- Practice Phone
- (716) 447-6100
- Practice Fax
- (716) 876-5079
- Enumeration Date
- March 27, 2006
- Last Updated
- July 10, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 04054766 (NY)