Individual
JACQUELINE SENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PA-C
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(888) 369-2427
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-9311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA067892
PA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/12/2026
Last updated
07/28/2026
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