Jordan Elizabeth Evanicki, PA-C is a medical physician assistant in Rochester, NY. Jordan Elizabeth Evanicki, PA-C NPI is 1679974372. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
4901 LAC DE VILLE BLVD
CLINTON CROSSINGS, BUILDING D, SUITE 120
ROCHESTER, NY
ZIP 14618-647
Phone: (585) 275-5321
The NPI 1679974372 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/12/2014 and was last updated on 12/9/2015.