National Provider Identifier

Jacquelyn Rose Wescott

Jacquelyn Rose Wescott is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (630) 940-3432.

NPI 1710454939Buffalo, NYPhysician Assistant

Profile Overview

NPI
1710454939
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
October 25, 2018
Last Updated
July 30, 2025

Practice Location

  • 462 Grider St
  • Buffalo, NY 14215-3021

Phone: (630) 940-3432

Mailing Address

  • 131 Paramount Pkwy
  • Tonawanda, NY 14223-1048

Specialties

  • Physician Assistant (363A00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1710454939
Entity Type
Individual
Last Name
Wescott
First Name
Jacquelyn
Middle Name
Rose
Name Prefix
MS.
Mailing Street Address
131 Paramount Pkwy
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14223-1048
Mailing Country
US
Mailing Phone
(630) 940-3432
Practice Street Address
462 Grider St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3021
Practice Country
US
Practice Phone
(630) 940-3432
Enumeration Date
October 25, 2018
Last Updated
July 30, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
July 30, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Student in an Organized Health Care Education/Training Program (390200000X)