Individual
DR. JENNIFER MICHELLE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3512 STATE ROUTE 257 STE 108, SENECA, PA 16346-2946
(814) 677-3717
(814) 677-8914
Mailing address
3512 STATE ROUTE 257 STE 108, SENECA, PA 16346-2946
(814) 677-3717
(814) 677-8914
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS012001
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018963040001
—
PA
01
—
OS012001
MEDICAL LICENSE
PA
Enumeration date
08/15/2005
Last updated
01/11/2021
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