Individual
JESSICA THANH VU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-6822
(717) 531-4970
Mailing address
500 UNIVERSITY DRIVE MC CA 410, HERSHEY, PA 17033-2360
(717) 531-5208
(717) 531-0119
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA063050
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Y5546
MEDICARE
PA
Enumeration date
10/07/2021
Last updated
05/10/2023
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