Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JESSICA FAYE BOUCHARD, RPA-C
ActiveMRS. JESSICA FAYE BOUCHARD, RPA-C is a Medical Physician Assistant healthcare provider located in FAYETTEVILLE, New York. NPI 1023247608 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FAYETTEVILLE, NY
Registration Details
- NPI Number
- 1023247608
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 5, 2009 (17.126216004955 yrs)
- Last Updated
- Nov 25, 2014
- License
-
013312-1 (NY)
Practice Information
- Address
-
4110 MEDICAL CENTER DRFAYETTEVILLE, NY, 130666613Browse NY providers · Browse ZIP 13066
- Phone
- 3156630100
- Fax
- 3156630052
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in FAYETTEVILLE, NY
| Name | Credential | NPI |
|---|---|---|
| MARY T LYNCH | RPA | 1659331080 |
| KEITH S MURRAY | RPA | 1477514263 |
| DAWN M SCOTT | RPA | 1629030978 |
| STEPHEN J JACKOWSKI | RPA | 1215990536 |
| SHERYL L KHAN | RPA | 1215009352 |
| ANITA D O'MALLEY | PA | 1790819126 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.