Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | SP016308 | PA |
N | 363L00000X | Nurse Practitioner | SP016308 | PA |
NPI | 1043443880 |
---|---|
Provider Name | Mrs. Jennifer Alexandra West |
First Address | Sewickley, PA 15143-1851 |
Second Address | Pittsburgh, PA 15243-1248 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2009 |
Last Update Date | 12/09/2019 |