National Provider Identifier
Jennifer Rose Beerworth, PA-C
Jennifer Rose Beerworth, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (212) 308-3088.
Profile Overview
- NPI
- 1962992867
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- May 16, 2018
- Last Updated
- April 22, 2021
Practice Location
- 125 Lattimore RD Ste 150
- Rochester, NY 14620-4156
Phone: (212) 308-3088
Mailing Address
- 601 Elmwood Ave Box 668
- Rochester, NY 14642-0001
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1962992867
- Entity Type
- Individual
- Last Name
- Beerworth
- First Name
- Jennifer
- Middle Name
- Rose
- Credential
- PA-C
- Provider Other Last Name
- Mansfield
- Provider Other First Name
- Jennifer
- Provider Other Middle Name
- R
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 601 Elmwood Ave Box 668
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-5705
- Practice Street Address
- 125 Lattimore RD Ste 150
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-4156
- Practice Country
- US
- Practice Phone
- (212) 308-3088
- Enumeration Date
- May 16, 2018
- Last Updated
- April 22, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 22, 2021
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)