Provider Demographics
NPI:1043443880
Name:WEST, JENNIFER ALEXANDRA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ALEXANDRA
Last Name:WEST
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:500 CHADWICK ST
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-1851
Mailing Address - Country:US
Mailing Address - Phone:412-741-2810
Mailing Address - Fax:412-741-2807
Practice Address - Street 1:100 N WREN DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1248
Practice Address - Country:US
Practice Address - Phone:412-429-2570
Practice Address - Fax:412-429-2572
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-27
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP016308207N00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner