Provider Demographics
NPI:1487844338
Name:CELSO, JENNIFER LYNN (RPA-C)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:LYNN
Last Name:CELSO
Suffix:
Gender:F
Credentials:RPA-C
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Mailing Address - Street 1:340 ARNETT BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14619-1147
Mailing Address - Country:US
Mailing Address - Phone:585-235-2250
Mailing Address - Fax:585-235-0011
Practice Address - Street 1:340 ARNETT BLVD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14619-1147
Practice Address - Country:US
Practice Address - Phone:585-235-2250
Practice Address - Fax:585-235-0011
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2022-08-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY011956363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant