Individual
JENNIFER HERSHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
219 N BROAD ST, PHILADELPHIA, PA 19107-1519
(844) 464-6387
Mailing address
219 N BROAD ST, PHILADELPHIA, PA 19107-1519
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9111846
FL
363A00000X
Physician Assistant
MA057420
PA
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
MA057420
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103401759
—
PA
Enumeration date
02/06/2015
Last updated
11/04/2024
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