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

Mrs. Jennifer Etheridge-Otey, RPAC

Individual provider Medical Physician Assistant · NPI 1528134384

Mrs. Jennifer Etheridge-Otey, RPAC is a Medical Physician Assistant in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

450 Clarkson Ave # 1222 Physician Assistant Program
Brooklyn, NY 11203-2012
Phone: (718) 270-7773
Fax: (718) 270-7459
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 005589 (NY)

Record details

NPI number1528134384
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPAC
Sole proprietorNo
NPI enumeratedNovember 25, 2006
Last updated in NPPESDecember 4, 2012

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