National Provider Identifier

Jacqueline Breese, PA-C

Jacqueline Breese, 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) 276-9361.

NPI 1649926395Rochester, NYPhysician Assistant

Profile Overview

NPI
1649926395
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
February 22, 2022
Last Updated
July 22, 2023

Practice Location

  • 959 Panorama Trl S Ste 100
  • Rochester, NY 14625-2382

Phone: (585) 276-9361

Specialties

  • Physician Assistant (363A00000X)
  • Internal Medicine Physician (207R00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)

Endpoints

  • jbreese245966@direct.urmc.rochester.edu

    Direct Messaging Address | Direct | Other | Rochester, NY 14642

Full Record
NPI
1649926395
Entity Type
Individual
Last Name
Breese
First Name
Jacqueline
Credential
PA-C
Mailing Street Address
959 Panorama Trl S Ste 100
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14625-2382
Mailing Country
US
Mailing Phone
(585) 276-9361
Practice Street Address
959 Panorama Trl S Ste 100
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14625-2382
Practice Country
US
Practice Phone
(585) 276-9361
Enumeration Date
February 22, 2022
Last Updated
July 22, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
December 17, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Internal Medicine Physician (207R00000X), Student in an Organized Health Care Education/Training Program (390200000X)