Individual
MRS. JESSICA D BORDERIEUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
606 E MARSHALL ST STE 107, WEST CHESTER, PA 19380-4440
(610) 439-8440
Mailing address
606 E MARSHALL ST STE 107, WEST CHESTER, PA 19380-4440
(610) 436-8440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C50000622
DE
363A00000X
Physician Assistant
Primary
MA052540
PA
363A00000X
Physician Assistant
PA9102515
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268544200
—
FL
05
—
291743200
—
FL
Enumeration date
10/20/2005
Last updated
03/07/2023
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