Individual
JENNIFER L MCDANEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4815 LIBERTY AVE STE M54, PITTSBURGH, PA 15224-2156
(412) 621-1818
(412) 621-4337
Mailing address
4815 LIBERTY AVE STE M54, PITTSBURGH, PA 15224-2156
(412) 621-1818
(412) 621-4337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA002008
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090636JDM
MEDICARE
—
Enumeration date
01/27/2006
Last updated
06/30/2022
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