Individual
JENIFER ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
930 REVOLUTION ST, HAVRE DE GRACE, MD 21078
(410) 939-0961
(410) 939-7832
Mailing address
930 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3718
(410) 939-0961
(410) 939-7832
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003395
MD
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
C03395
MD
Other
Enumeration date
09/21/2006
Last updated
03/31/2026
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