Individual
JENNA NICOLE DOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 LOCUST ST STE 300, PITTSBURGH, PA 15219-5114
(412) 647-3685
Mailing address
1400 LOCUST ST STE 300, PITTSBURGH, PA 15219-5114
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA065990
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA065990
PENNSYLVANIA STATE BOARD OF MEDICINE
PA
Enumeration date
09/30/2024
Last updated
11/06/2024
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