Individual
JESSICA MARIE HARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8161
(717) 531-7726
Mailing address
PO BOX 858, MCA410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA052881
PA
363AM0700X
Medical Physician Assistant
MA052881
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032014440002
—
PA
01
—
2726670
HIGHMARK BLUE SHIELD - FREEDOM BLUE
PA
Enumeration date
01/09/2007
Last updated
03/23/2021
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