SearchNew York363A00000X

Jessica Hayden, PHYSICIAN ASSISTANT

NPI 1841903150 · on the registry since 2023 · sole proprietor

Practice

Address
11050 Mt. Belvedere Boulevard
Fort Drum, NY 13602
Phone
(803) 226-1306
Organisation at this address
Bobbi Petranchuk
Inferred from a shared address, not stated in the registry.
Clinicians at this address
108

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
390200000X
Sex
Female
Record last updated
2024-03-14

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