Mrs. Jennifer R Votruba, PA-C
Physician Assistant in Pittsfield, Massachusetts
1255851747- Practice location
- 631B North St, Pittsfield, MA 01201-4102
- Phone
- 413-445-9171
- Fax
- —
- Last updated
- June 26, 2017
Jennifer Rose Votruba is a Physician Assistant based in Pittsfield, MA. Jennifer Rose Votruba practices in Pittsfield, MA and has the professional credentials of PA-C. The NPI Number for Jennifer Rose Votruba is 1255851747 and holds a License No. PA6158 (MA). The current practice location address for Jennifer Rose Votruba is 631B North St, Pittsfield, MA 01201-4102 and can be reached out via phone at 413-445-9171.
Provider Profile Details
- NPI Number
- 1255851747
- Provider Name
- Jennifer Rose Votruba
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 631B North St, Pittsfield, MA 01201-4102
- Phone Number
- 413-445-9171
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Other Names
- Miss Jennifer Maire Rose (Former Name)
- Provider Enumeration Date
- June 26, 2017
- Last Update Date
- June 26, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 631B North St
Pittsfield, MA 01201-4102 - City
- Pittsfield
- State
- Massachusetts
- Zip
- 01201-4102
- Phone Number
- 413-445-9171
Provider Business Mailing Address Details
- Address
- 30 Notch RD
Adams, MA 01220-1042 - City
- Adams
- State
- MA
- Zip
- 01220-1042
- Phone Number
- 434-907-3008
License Information
- License Number
- PA6158
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Jennifer R Votruba, PA-C?
The NPI number of Mrs. Jennifer R Votruba, PA-C is 1255851747. It was assigned on June 26, 2017 and is currently active in the NPPES registry.
What is the specialty of Mrs. Jennifer R Votruba, PA-C?
Mrs. Jennifer R Votruba, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA6158.
Where does Mrs. Jennifer R Votruba, PA-C practice?
The practice location is 631B North St, Pittsfield, MA 01201-4102. The office can be reached at 413-445-9171 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255851747 directly on the NPPES registry website.