Individual
MRS. JESSE ELIZABETH PANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-6000
Mailing address
3131 PRINCETON PIKE, STE 208, LAWRENCEVILLE, NJ 08648-2201
(609) 815-7829
(609) 815-7894
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00251400
NJ
363AM0700X
Medical Physician Assistant
MA054714
PA
Other
Enumeration date
10/24/2010
Last updated
11/04/2016
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