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Individual
MS. JENNIFER C GNIPP
Active
Individual
MS. JENNIFER C GNIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
009835
NY
363AS0400X
Surgical Physician Assistant
Primary
MA058276
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103278074
—
PA
01
—
14000227
CAQH
—
Enumeration date
11/02/2010
Last updated
10/06/2020
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