Individual
JENNY DEXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 E MARSHALL ST, WEST CHESTER, PA 19380-4412
(610) 738-2690
Mailing address
701 E MARSHALL ST, WEST CHESTER, PA 19380-4412
(610) 738-2690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA003391L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5-0000321
PROFESSIONAL LICENSE
DE
Enumeration date
12/04/2006
Last updated
08/15/2014
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