Individual
JACLYN HEPWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 828-3000
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-1405
(717) 851-6798
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00589100
NJ
363AM0700X
Medical Physician Assistant
Primary
25MP00589100
NJ
363AM0700X
Medical Physician Assistant
MA058874
PA
Other
Enumeration date
03/02/2017
Last updated
04/17/2024
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