Jessica Nixon Moore in Rochester - Physician Assistant
Jessica Nixon Moore - NPI 1629114772
Jessica Nixon Moore is a Physician Assistant in Rochester, New York. Jessica Nixon Moore practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jessica Nixon Moore is 1629114772. The last update date is 2013-02-22.
Jessica Nixon Moore's current location address is 1425 Portland Ave, Rochester, New York. You can contact this provider via phone number 5859225067 and fax number 5859222908. The mailing address for Jessica Nixon Moore is 1425 Portland Ave, Rochester, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Nixon Moore |
|---|---|
| Address | 1425 Portland Ave, Rochester, New York |
| Phone Number | 5859225067 |
| Fax Number | 5859222908 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1629114772 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2013-02-22 |
Provider Mailing Address Detail
| Address | 1425 Portland Ave |
|---|---|
| City | Rochester |
| State | New York (NY) |
| Post Code | 146213001 |
| Phone Number | 5859225067 |
| Fax Number | 5859222908 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 14755 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01131126 RGH | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jessica Nixon Moore?
The Jessica Nixon Moore has been issued the NPI (National Provider Identifier) 1629114772 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jessica Nixon Moore?
The Jessica Nixon Moore is physically situated at 1425 Portland Ave, in the city of Rochester, state of NY, with the postal code 146213001.
What is Jessica Nixon Moore's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jessica Nixon Moore is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did Jessica Nixon Moore receive its 1629114772 assignment from the Centers for Medicare & Medicaid Services?
The Jessica Nixon Moore was assigned its 1629114772 on 2007-01-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jessica Nixon Moore most recently updated?
The details pertaining to the Jessica Nixon Moore, including its address, specialty, and other relevant information, were last refreshed on 2013-02-22.