Individual
JENIANE L. RATHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 E MAIN STREET, CONCORD HEALTH CENTER, CONCORD, VT 05824-0355
(802) 695-2512
(802) 695-1303
Mailing address
165 SHERMAN DR, ST JOHNSBURY, VT 05819-9811
(802) 748-9405
(802) 748-4540
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0550030707
VT
363AM0700X
Medical Physician Assistant
Primary
0550030914
VT
363AM0700X
Medical Physician Assistant
0550031134
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000181
—
VT
Enumeration date
04/21/2006
Last updated
10/10/2023
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