Individual
JENNIFER RANKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPAC
Contact information
Practice address
295 ESSJAY RD, WILLIAMSVILLE, NY 14221-5795
(166) 301-1007
(716) 250-5901
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-8235
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008786
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027431501
UNIVERA
NY
01
—
000570393002
BC/BS OF WNY
NY
05
—
02431189
—
NY
01
—
050301000150
FIDELIS CARE OF NEW YORK
NY
01
—
9511870
INDEPENDENT HEALTH
NY
Enumeration date
07/24/2006
Last updated
09/08/2022
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