Individual provider · Type 1 NPI

Jaclyn Marie Christenson, PA-C

Surgical Physician Assistant · Syracuse, NY

NPI number 1407001399 Active

Practice location

4900 Broad Rd
Syracuse, NY 13215-2265

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X009683-1 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1407001399

Jaclyn Marie Christenson, PA-C's National Provider Identifier is 1407001399, issued on Nov 19, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Syracuse, NY. The record was last updated on Jul 21, 2010.