National Provider Identifier

Jessica Nicole O'Brien, RPA-C

Jessica Nicole O'Brien, RPA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Orchard Park, NY and a listed phone number of (716) 675-5711.

NPI 1891826467Orchard Park, NYMedical Physician Assistant

Profile Overview

NPI
1891826467
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
March 08, 2007
Last Updated
October 14, 2019

Practice Location

  • 3670 South Benzing RD
  • Suite C
  • Orchard Park, NY 14127

Phone: (716) 675-5711

Specialties

  • Medical Physician Assistant (363AM0700X)
  • Physician Assistant (363A00000X)
Full Record
NPI
1891826467
Entity Type
Individual
Last Name
O'Brien
First Name
Jessica
Middle Name
Nicole
Name Prefix
Mrs.
Credential
RPA-C
Mailing Street Address
3670 South Benzing RD
Mailing Address Line 2
Suite C
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127
Mailing Country
US
Mailing Phone
(716) 675-5711
Mailing Fax
(716) 675-1358
Practice Street Address
3670 South Benzing RD
Practice Address Line 2
Suite C
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127
Practice Country
US
Practice Phone
(716) 675-5711
Practice Fax
(716) 675-1358
Enumeration Date
March 08, 2007
Last Updated
October 14, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)
Other Identifiers
0021056603 (NY, Univera), 000570066007 (NY, BCBS), 02345619 (NY), 9511995 (NY, Independent Health)