Individual
MISS JENNA MARIE GUTEKUNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 HOSPITAL DR, LEWISBURG, PA 17837-9350
(570) 522-2000
Mailing address
257 W VALLEY AVE, ELYSBURG, PA 17824-7260
(570) 394-4985
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA063632
PA
363AS0400X
Surgical Physician Assistant
MA063632
PA
Other
Enumeration date
06/21/2022
Last updated
07/11/2025
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