Individual provider · Type 1 NPI
Jessica Nackley, PA
Surgical Physician Assistant · Newark, NY
NPI number
1992104962
Active
Practice location
1200 Driving Park Ave Ste 4
Newark, NY 14513-1090
Fax (315) 359-2699
Mailing address
100 Kings Hwy S
Rochester, NY 14617-5504
Other practice locations
- 401 S Main St, Canandaigua, NY 14424-2126 · (585) 412-6491
- 2 Coulter Rd Ste 1640, Clifton Springs, NY 14432-1122 · (315) 462-1170
- 875 Pre Emption Rd, Geneva, NY 14456-2042 · (315) 789-5061
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 020740 (NY) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
Other surgical physician assistant providers in Newark
About NPI 1992104962
Jessica Nackley, PA's National Provider Identifier is 1992104962, issued on Aug 15, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Newark, NY. The record was last updated on Dec 16, 2022.