Individual
JESSE J. JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 S ATHERTON ST STE 6, STATE COLLEGE, PA 16801-8324
(814) 466-6396
(814) 466-6056
Mailing address
3901 S ATHERTON ST STE 6, STATE COLLEGE, PA 16801-8324
(814) 466-6396
(814) 466-6056
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD466682
PA
Other
Enumeration date
05/12/2014
Last updated
07/01/2019
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