JESSICA DISTEFANO PA-C NPI 1790126480

NPI Information

Jessica Distefano, PA-C is a surgical physician assistant in Brighton, MA with 12 years of experience. Jessica Distefano, PA-C NPI is 1790126480. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

11 NEVINS ST
SUITE 306
BRIGHTON, MA
ZIP 02135-514
Phone: (617) 789-2045

The NPI 1790126480 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 7/10/2013 and was last updated on 5/22/2016.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.