National Provider Identifier

Jessica Victoria Miller, PA-C

Jessica Victoria Miller, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Buffalo, NY and a listed phone number of (716) 859-5600.

NPI 1760025738Buffalo, NYMedical Physician Assistant

Profile Overview

NPI
1760025738
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
October 23, 2019
Last Updated
November 21, 2019

Practice Location

  • 100 High St
  • Buffalo, NY 14203-1154

Phone: (716) 859-5600

Mailing Address

  • 31 Albert Ct
  • Depew, NY 14043-1005

Specialties

  • Medical Physician Assistant (363AM0700X)
  • Critical Care Medicine (Anesthesiology) Physician (207LC0200X)
Full Record
NPI
1760025738
Entity Type
Individual
Last Name
Miller
First Name
Jessica
Middle Name
Victoria
Credential
PA-C
Mailing Street Address
31 Albert Ct
Mailing City
Depew
Mailing State
NY
Mailing ZIP Code
14043-1005
Mailing Country
US
Mailing Phone
(716) 951-9432
Practice Street Address
100 High St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1154
Practice Country
US
Practice Phone
(716) 859-5600
Enumeration Date
October 23, 2019
Last Updated
November 21, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X), Critical Care Medicine (Anesthesiology) Physician (207LC0200X)