JESSICA PATHROSE DO NPI 1669095477

NPI Information

  • NPI: 1669095477
  • Provider Name: JESSICA PATHROSE, DO
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 1800 MAPLE RD STE 100
    WILLIAMSVILLE, NY
    ZIP 14221
  • Phone: (716) 636-5437

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NPI Details

Jessica Pathrose, DO is a student in an organized health care education training program in Williamsville, NY with 5 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jessica Pathrose, DO NPI is 1669095477. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year:2020

The provider's business location address is:

1800 MAPLE RD STE 100
WILLIAMSVILLE, NY
ZIP 14221-749
Phone: (716) 636-5437

The enumeration date for this NPI number is 5/27/2020 and was last updated on 1/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics323640NEW YORKNo
2390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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