Individual
MRS. JESSICA ANN UPDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
132 ABIGAIL LN, PORT MATILDA, PA 16870-7153
(814) 272-5011
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA056984
PA
363AS0400X
Surgical Physician Assistant
MA056984
PA
Other
Enumeration date
07/28/2014
Last updated
08/30/2020
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