Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica M Fetterman, PA

Individual provider Physician Assistant · NPI 1316025679

Jessica M Fetterman, PA is a Physician Assistant in Manlius, New York. Licensed in Michigan and New York. Registered with an NPI since 2006.

Licensed in
MI, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4282 Trout Lilly Ln
Manlius, NY 13104-9807
Phone: (315) 877-2402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (NY)
Physician Assistant Taxonomy 363A00000X · Licence 5601004474 (MI)

Record details

NPI number1316025679
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 2, 2006
Last updated in NPPESSeptember 7, 2010

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