Individual
JENNIFER MAY SHOBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2255 PHILADELPHIA ST, INDIANA, PA 15701-1595
(724) 463-0476
Mailing address
6122 ROUTE 286 HWY W, INDIANA, PA 15701-8667
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052990
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50071085
CAPITAL BLUE CROSS
PA
Enumeration date
06/03/2007
Last updated
04/12/2021
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