Individual
MRS. JENNIFER LEE BRILLHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
30 MONUMENT STREET, STE 1100, YORK, PA 17403-1740
(717) 851-6454
(717) 851-1665
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-6454
(717) 851-1665
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA002018L
PA
363AM0700X
Medical Physician Assistant
MA002018L
PA
363AS0400X
Surgical Physician Assistant
Primary
MA002018L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1550567
GATEWAY-WMG
PA
01
—
50040428
CAPITAL BLUE CROSS-WMG
PA
Enumeration date
06/24/2006
Last updated
05/19/2021
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