Individual
JEANNA M OBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6481 CARLISLE PIKE, MECHANICSBURG, PA 17050-2377
(717) 516-6396
(717) 620-8093
Mailing address
6481 CARLISLE PIKE, MECHANICSBURG, PA 17050-2377
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055509
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103269306
—
PA
Enumeration date
06/18/2012
Last updated
04/15/2021
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