Individual
MRS. JESSICA M. SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
295 N KERRWOOD DR, SUITE 104, HERMITAGE, PA 16148-5207
(724) 346-6425
(724) 346-6474
Mailing address
295 N KERRWOOD DR, SUITE 104, HERMITAGE, PA 16148-5207
(724) 346-6425
(724) 346-6474
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA003188
PA
363AM0700X
Medical Physician Assistant
003796
OH
363AM0700X
Medical Physician Assistant
MA051655
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811043
HIGHMARK BLUE CROSS B.S.
PA
Enumeration date
03/23/2006
Last updated
01/22/2014
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