O'Brien, Jessica Nicole

O'Brien, Jessica Nicole is an individual health care provider with primary practice located at 3670 South Benzing Rd Suite C, Orchard Park NY 14127. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. O'Brien, Jessica Nicole can be contacted via phone (716) 675-5711.

Contact Information

Primary practice address
3670 South Benzing Rd Suite C Orchard Park NY 14127
Phone: (716) 675-5711
Fax: (716) 675-1358
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 005077 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1891826467
LBN Legal business name O'Brien, Jessica Nicole
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Oct 14th, 2019 - about 5 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 1891826467 NPPES
New York Other 0021056603 UNIVERA
New York Other 000570066007 UNIVERA
New York MEDICAID 02345619 UNIVERA
New York Other 9511995 UNIVERA

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