Individual provider · Type 1 NPI
Jessica M. Fetterman, PA
Medical Physician Assistant · Manlius, NY
NPI number
1316025679
Active
Practice location
4282 Trout Lilly Ln
Manlius, NY 13104-9807
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 5601004474 (MI) |
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Manlius
About NPI 1316025679
Jessica M. Fetterman, PA's National Provider Identifier is 1316025679, issued on Nov 2, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Manlius, NY. The record was last updated on Sep 7, 2010.