Individual provider · Type 1 NPI

Jessica Faye Bouchard, RPA-C

Medical Physician Assistant · Fayetteville, NY

NPI number 1023247608 Active

Practice location

4110 Medical Center Dr
Fayetteville, NY 13066-6613

Call (315) 663-0100 Map

Fax (315) 663-0052

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X013312-1 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1023247608

Jessica Faye Bouchard, RPA-C's National Provider Identifier is 1023247608, issued on Jul 5, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fayetteville, NY. The record was last updated on Nov 25, 2014.