Individual
JACQUELINE THIEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7157 MARY PECK BOND PL, PITTSBURGH, PA 15206-1236
(412) 661-2802
Mailing address
104 N 2ND ST APT 404, PHILADELPHIA, PA 19106-1924
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061420
PA
Other
Enumeration date
03/26/2020
Last updated
07/09/2026
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