Provider Demographics
NPI:1427381441
Name:HARRINGTON, JOCELYN MARIE (RPA-C)
Entity Type:Individual
Prefix:MRS
First Name:JOCELYN
Middle Name:MARIE
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:MISS
Other - First Name:JOCELYN
Other - Middle Name:MARIE
Other - Last Name:WIKANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPA-C
Mailing Address - Street 1:600 RED CREEK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-4300
Mailing Address - Country:US
Mailing Address - Phone:585-244-5670
Mailing Address - Fax:585-338-1477
Practice Address - Street 1:600 RED CREEK DR STE 200
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-4300
Practice Address - Country:US
Practice Address - Phone:585-222-6566
Practice Address - Fax:585-338-1477
Is Sole Proprietor?:No
Enumeration Date:2009-09-09
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011566363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400005909OtherMEDICARE PTAN