Individual
JENNIFER S AMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
51 PETERS ROAD, SUITE 202, LITITZ, PA 17543-7685
(717) 569-6481
Mailing address
1570 FRUITVILLE PIKE, ROSEVILLE PEDIATRICS, LANCASTER, PA 17601-4087
(717) 569-6481
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD073304L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018412620004
—
PA
01
—
20027799
AMERIHEALTH MERCY HEALTH
PA
01
—
3568634
AETNA HMO
PA
01
—
50015642
CAPITAL BLUE CROSS
PA
01
—
7941403
AETNA NON-HMO
PA
01
—
81127 S1BX
GEISINGER HEALTH PLAN
PA
01
—
964196
HIGHMARK BLUE SHIELD
PA
01
—
P002592
GATEWAY HEALTH PLAN
PA
Enumeration date
02/21/2006
Last updated
01/23/2025
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