National Provider Identifier
Jessica Nackley, PA
Jessica Nackley, PA is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Newark, NY and a listed phone number of (315) 359-2696.
Profile Overview
- NPI
- 1992104962
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- August 15, 2014
- Last Updated
- December 16, 2022
Practice Location
- 1200 Driving Park Ave Ste 4
- Newark, NY 14513-1090
Phone: (315) 359-2696
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Surgical Physician Assistant (363AS0400X)
Endpoints
- Jessica.Nackley@rochesterregional.org
Direct Messaging Address | Newark, NY 14513
Full Record
- NPI
- 1992104962
- Entity Type
- Individual
- Last Name
- Nackley
- First Name
- Jessica
- Credential
- PA
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (315) 359-2696
- Mailing Fax
- (315) 359-2699
- Practice Street Address
- 1200 Driving Park Ave Ste 4
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1090
- Practice Country
- US
- Practice Phone
- (315) 359-2696
- Practice Fax
- (315) 359-2699
- Enumeration Date
- August 15, 2014
- Last Updated
- December 16, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 16, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)