person
Mrs. Jessica Faye Bouchard, RPA-C
Medical Physician Assistant in Fayetteville, New York
NPI 1023247608

Jessica Faye Bouchard is a Medical Physician Assistant based in Fayetteville, NY and is specialized in Medical. Jessica Faye Bouchard practices in Fayetteville, NY and has the professional credentials of RPA-C. The NPI Number for Jessica Faye Bouchard is 1023247608 and holds a License No. 013312-1 (New York).

The current practice location address for Jessica Faye Bouchard is 4110 Medical Center Dr, Fayetteville, NY and can be reached out via phone at 315-663-0100 and via fax at 315-663-0052.

Location: 4110 Medical Center Dr, Fayetteville, NY, 13066-6613
person
Provider Profile Details
NPI Number
1023247608
Provider Name
Jessica Faye Bouchard
Credential
RPA-C
Provider Entity Type
Individual
Gender
Female
Address
4110 Medical Center Dr, Fayetteville, NY, 13066-6613
Phone Number
315-663-0100
Fax Number
315-663-0052
Provider Enumeration Date
07/05/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4110 Medical Center Dr
City
State
Zip
13066-6613
Phone Number
315-663-0100
Fax Number
315-663-0052
person
Provider Business Mailing Address Details
Address
4110 Medical Center Dr
City
State
Zip
13066-6613
Phone Number
315-663-0100
Fax Number
315-663-0052
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
013312-1 (New York)
Definition
Definition to come...
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