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Individual

MS. JENNIFER C GNIPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A

Contact information

Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-8820
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-8820

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
009835
NY
363AS0400X
Surgical Physician Assistant
Primary
MA058276
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103278074
PA
01
14000227
CAQH
Enumeration date
11/02/2010
Last updated
10/06/2020
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