National Provider Identifier

Jenna Patricia Martin, RPA-C

Jenna Patricia Martin, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Orchard Park, NY and a listed phone number of (716) 712-0490.

NPI 1578818670Orchard Park, NYPhysician Assistant

Profile Overview

NPI
1578818670
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
July 16, 2012
Last Updated
February 25, 2015

Practice Location

  • 3075 Southwestern Blvd Ste 100
  • Orchard Park, NY 14127-1236

Phone: (716) 712-0490

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1578818670
Entity Type
Individual
Last Name
Martin
First Name
Jenna
Middle Name
Patricia
Credential
RPA-C
Mailing Street Address
3075 Southwestern Blvd Ste 100
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-1236
Mailing Country
US
Mailing Phone
(716) 712-0490
Practice Street Address
3075 Southwestern Blvd Ste 100
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-1236
Practice Country
US
Practice Phone
(716) 712-0490
Enumeration Date
July 16, 2012
Last Updated
February 25, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)