Individual
JENNIFER L WELLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 S 7TH AVE, SUITE 3020, WEST READING, PA 19611-1410
(610) 375-6147
(610) 378-9967
Mailing address
301 S 7TH AVE, SUITE 3020, WEST READING, PA 19611-1410
(610) 375-6147
(610) 378-9967
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA003304L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MW0613213
—
PA
Enumeration date
01/24/2006
Last updated
07/09/2007
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