Individual
JESSICA KATHERINE CHAUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
121 N NYES RD, SUITE A, HARRISBURG, PA 17112-3247
(717) 657-4040
(717) 671-9038
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA056640
PA
363A00000X
Physician Assistant
Primary
OA003200
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341293F6K
MEDICARE PTAN
PA
Enumeration date
11/27/2013
Last updated
01/16/2017
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