National Provider Identifier
Jordan Elizabeth Evanicki, PA-C
Jordan Elizabeth Evanicki, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 275-9555.
Profile Overview
- NPI
- 1679974372
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- September 12, 2014
- Last Updated
- August 04, 2025
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-5647
Phone: (585) 275-9555
Mailing Address
- 601 Elmwood Ave Box 655
- Rochester, NY 14642-8655
Specialties
- Medical Physician Assistant (363AM0700X)
- Physician Assistant (363A00000X)
Endpoints
- jsmith96842@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1679974372
- Entity Type
- Individual
- Last Name
- Evanicki
- First Name
- Jordan
- Middle Name
- Elizabeth
- Credential
- PA-C
- Mailing Street Address
- 601 Elmwood Ave Box 655
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-8655
- Mailing Country
- US
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-5647
- Practice Country
- US
- Practice Phone
- (585) 275-9555
- Enumeration Date
- September 12, 2014
- Last Updated
- August 04, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 04, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)