Individual
JENNIFER JO CHESTNUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
175 PINE ST STE 200, WILLIAMSPORT, PA 17701-6549
(570) 326-2447
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
(888) 647-9600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
MA058618
PA
Other
Enumeration date
10/24/2016
Last updated
06/13/2022
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