Individual
JENNIFER ANNE EUSTACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12311 PERRY HWY, WEXFORD, PA 15090-8344
(724) 935-5330
(724) 935-5098
Mailing address
8150 PERRY HWY STE 201, PITTSBURGH, PA 15237-5200
(724) 741-0044
(412) 369-9566
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA058446
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103356500-0001
—
PA
05
—
103356500-0002
—
PA
Enumeration date
06/30/2015
Last updated
01/17/2024
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