Amsdell, Jacqueline Brittany

Amsdell, Jacqueline Brittany is an individual health care provider with primary practice located at 739 Irving Ave Suite 640, Syracuse NY 13210. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Amsdell, Jacqueline Brittany can be contacted via phone (315) 464-6255.

Contact Information

Primary practice address
739 Irving Ave Suite 640 Syracuse NY 13210
Phone: (315) 464-6255
Fax: (315) 464-6251
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA08521 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 025830 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA08521 Texas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 4620 Connecticut

Profile Details

NPI number 1700228129
LBN Legal business name Amsdell, Jacqueline Brittany
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2013
Last updated May 5th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700228129 NPPES
Texas MEDICAID 335901004
Texas MEDICAID 335901001
Texas Other 8745NY

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