Individual
MS. PAIGE REESE CARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2391
(800) 243-1455
Mailing address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-5208
(717) 531-0119
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA063321
PA
363AM0700X
Medical Physician Assistant
MR7151145
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1180631
NCCPA ID
PA
01
—
MA063321
PENNSYLVANIA STATE MEDICAL LICENCE
PA
Enumeration date
01/08/2022
Last updated
11/13/2025
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