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Individual

MRS. JENNIFER L NAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
429 INDUSTRIAL PARK RD, JOHNSTOWN, PA 15904-1943
(814) 262-1219
Mailing address
429 INDUSTRIAL PARK RD, JOHNSTOWN, PA 15904-1943
(814) 262-1219

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110002153
VA
363A00000X
Physician Assistant
Primary
MA052132
PA
363AM0700X
Medical Physician Assistant
MA052132
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010232970
VA
05
1037413940001
PA
01
P00337237
MEDICARE RAILROAD
VA
Enumeration date
04/26/2006
Last updated
11/07/2023
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