Individual
JENNIFER DAWN DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2425 GARDEN WAY STE 102, HERMITAGE, PA 16148-5215
(724) 981-1777
(724) 342-2879
Mailing address
1034 GROVE ST, ATTN: CREDENTIALING, MEADVILLE, PA 16335-2945
(724) 981-1777
(724) 342-2879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A10749
CA
207Q00000X
Family Medicine Physician
46200
CO
207Q00000X
Family Medicine Physician
Primary
OS025618
PA
207Q00000X
Family Medicine Physician
TL-2112
CO
207QA0505X
Adult Medicine Physician
46200
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07683871
—
CO
01
—
DR.00046200
LICENSE
CO
Enumeration date
10/17/2006
Last updated
04/30/2026
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