National Provider Identifier
Jessica Nixon Moore, PA-C
Jessica Nixon Moore, 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) 922-5067.
Profile Overview
- NPI
- 1629114772
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 29, 2007
- Last Updated
- February 22, 2013
Practice Location
- 1425 Portland Ave
- Department Of Medicine- Box 287
- Rochester, NY 14621-3001
Phone: (585) 922-5067
Mailing Address
- 1425 Portland Ave
- Deptartment Of Medicine- Box 287
- Rochester, NY 14621-3001
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1629114772
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Jessica
- Middle Name
- Nixon
- Credential
- PA-C
- Mailing Street Address
- 1425 Portland Ave
- Mailing Address Line 2
- Deptartment Of Medicine- Box 287
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3001
- Mailing Country
- US
- Mailing Phone
- (585) 922-5067
- Mailing Fax
- (585) 922-2908
- Practice Street Address
- 1425 Portland Ave
- Practice Address Line 2
- Department Of Medicine- Box 287
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-5067
- Enumeration Date
- January 29, 2007
- Last Updated
- February 22, 2013
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 01131126 RGH (NY)