Jennifer Bievenue
Physician Assistant in Altamont, NY. Individual provider (NPI-1).
NPI number1124819982
StatusActive
Last updated in NPPESAug 3, 2025
Details
- NPI
- 1124819982
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Bievenue
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 13, 2025
- Certification date
- Aug 3, 2025
- Last updated
- Aug 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 034140 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2508 Western AveAltamont, NY 12009-9485
Phone 518-690-0177
Mailing address
2508 Western AveAltamont, NY 12009-9485
Phone 518-690-0177
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physician Assistant providers in Altamont, NY
- Samantha L Lagace, PANPI 1790073724
- Amanda Mandell, PANPI 1992698609
- Karyn A Pauze, PANPI 1265610893
- Allison Jean Potolski, PANPI 1730738626
- Mary Spratt, PANPI 1124028451
All 6 Physician Assistant providers in Altamont · All 95 providers in Altamont
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.