Individual
MRS. JENNIFER LYNN NOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-1300
Mailing address
216 COVENTRY RD, TONAWANDA, NY 14217-1136
(716) 908-1371
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
011711
NY
Other
Enumeration date
05/04/2006
Last updated
10/13/2021
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