Individual
DR. JENNIFER MARTINE PASTERNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2014-00045
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026958401
UNIVERA
NY
05
—
001684240
—
PA
05
—
00530729
—
NC
01
—
260050172
RAILROAD MEDICARE
PA
01
—
716205
HIGHMARK BLUE SHIELD
PA
Enumeration date
11/09/2006
Last updated
07/13/2015
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