Individual
MS. PAMELA JENNER JEPPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
21 DWIGHT ROAD, SUIT 105, LONGMEADOW, MA 01106
(413) 794-5600
(413) 794-2733
Mailing address
280 CHESTNUT STREET, 2ND FLOOR, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA6387
MA
Other
Enumeration date
09/30/2017
Last updated
06/17/2019
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