Individual provider · Type 1 NPI

Jessica Robin Vanname, PA-C

Medical Physician Assistant · New York, NY

NPI number 1740940899 Active

Practice location

630 W 168th St
New York, NY 10032-3725

Call (212) 305-2500 Map

Mailing address

509 E 78th St Apt 5C
New York, NY 10075-1114

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X027739 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1740940899

Jessica Robin Vanname, PA-C's National Provider Identifier is 1740940899, issued on Dec 29, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Dec 29, 2021.