Individual
DEBRA ESERNIO-JENSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17TH & CHEW, CHILDREN'S CLINIC - CHILD ADVOCACY, ALLENTOWN, PA 18105-7017
(484) 633-0934
(484) 862-3138
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
158449
NY
208000000X
Pediatrics Physician
Primary
MD452408
PA
208000000X
Pediatrics Physician
ME106764
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002141600
—
FL
Enumeration date
11/13/2006
Last updated
02/08/2017
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