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Jennifer Bievenue
NPI 1124819982 · on the registry since 2025 · sole proprietor
Practice
- Address
- 2508 Western Ave
Altamont, NY 12009 - Phone
- (518) 690-0177
- Organisation at this address
- Theta Pattison Md
Theta Dermatology PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-03
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York