Individual
JESSICA LYNN FENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3565 ROUTE 611 STE 300, BARTONSVILLE, PA 18321-7800
(484) 526-6545
Mailing address
23 OAK LEAF LANE, EAST STROUDSBURG, PA 18301
(570) 242-8876
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA003749
PA
Other
Enumeration date
12/07/2009
Last updated
11/13/2025
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