Jessica Distefano, PA-C
Physician Assistant in Brighton, Massachusetts
1790126480- Practice location
- 11 Nevins St, Suite 306, Brighton, MA 02135-3514
- Phone
- 617-789-2045
- Fax
- —
- Last updated
- December 12, 2025
Jessica Distefano is a Physician Assistant based in Brighton, MA. Jessica Distefano practices in Brighton, MA and has the professional credentials of PA-C. The NPI Number for Jessica Distefano is 1790126480 and holds a License No. PA5538 (MA). The current practice location address for Jessica Distefano is 11 Nevins St, Suite 306, Brighton, MA 02135-3514 and can be reached out via phone at 617-789-2045.
Provider Profile Details
- NPI Number
- 1790126480
- Provider Name
- Jessica Distefano
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 11 Nevins St, Suite 306, Brighton, MA 02135-3514
- Phone Number
- 617-789-2045
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 10, 2013
- Last Update Date
- December 12, 2025
- Certification Date
- December 12, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Nevins St
Suite 306
Brighton, MA 02135-3514 - City
- Brighton
- State
- Massachusetts
- Zip
- 02135-3514
- Phone Number
- 617-789-2045
Provider Business Mailing Address Details
- Address
- 11 Nevins St
Suite 306
Brighton, MA 02135-3514 - City
- Brighton
- State
- MA
- Zip
- 02135-3514
- Phone Number
- 617-789-2045
License Information
- License Number (1)
- PA5538
- License State (1)
- MA
- Taxonomy (1)
- Physician Assistant · 363A00000X · Primary
- License Number (2)
- PA5538
- License State (2)
- MA
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X
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 Jessica Distefano, PA-C?
The NPI number of Jessica Distefano, PA-C is 1790126480. It was assigned on July 10, 2013 and is currently active in the NPPES registry.
What is the specialty of Jessica Distefano, PA-C?
Jessica Distefano, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA5538.
Where does Jessica Distefano, PA-C practice?
The practice location is 11 Nevins St, Suite 306, Brighton, MA 02135-3514. The office can be reached at 617-789-2045 (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 1790126480 directly on the NPPES registry website.