Individual
JENNA GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6301 FORBES AVE STE 301, PITTSBURGH, PA 15217-1725
(412) 422-1067
Mailing address
200 LOTHROP ST, PITTSBURGH, PA 15213-2536
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA058694
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265977508
FAMILY PRACTICE
PA
Enumeration date
12/22/2016
Last updated
01/20/2022
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