Individual
JESSICA TEETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, PA-C
Contact information
Practice address
2020 GOOD HOPE RD, ENOLA, PA 17025-1237
(717) 728-3636
Mailing address
790 DEYO RD, CORNING, NY 14830-9022
(607) 769-6637
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064185
PA
Other
Enumeration date
11/08/2022
Last updated
03/21/2024
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