Individual
JENNIFER ASHLEY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3075
(607) 547-6553
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3075
(607) 547-6553
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA23070
CA
363AM0700X
Medical Physician Assistant
Primary
028006
NY
363AM0700X
Medical Physician Assistant
PA23070
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA23070
CA PA LICENSE
CA
Enumeration date
06/10/2013
Last updated
05/11/2022
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