National Provider Identifier
Jessica Lynne Martin, PA
Jessica Lynne Martin, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 922-2440.
Profile Overview
- NPI
- 1982623203
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- July 18, 2006
- Last Updated
- May 15, 2012
Practice Location
- 2350 Ridgeway Ave
- Suite A
- Rochester, NY 14626-4127
Phone: (585) 922-2440
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1982623203
- Entity Type
- Individual
- Last Name
- Martin
- First Name
- Jessica
- Middle Name
- Lynne
- Credential
- PA
- Mailing Street Address
- 2350 Ridgeway Ave
- Mailing Address Line 2
- Suite A
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4127
- Mailing Country
- US
- Mailing Phone
- (585) 922-2440
- Mailing Fax
- (585) 663-3293
- Practice Street Address
- 2350 Ridgeway Ave
- Practice Address Line 2
- Suite A
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4127
- Practice Country
- US
- Practice Phone
- (585) 922-2440
- Practice Fax
- (585) 663-3293
- Enumeration Date
- July 18, 2006
- Last Updated
- May 15, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)
- Other Identifiers
- PA0512 (NY, Preferred Care), PO19010137 (NY, Blue Choice), PA0512 (NY, Preferred Care Opt), PO19010137 (NY, Blue Cross Of Rochester), 010137 (NY), PO19010137 (NY, Blue Choice Opt)