Individual provider · Type 1 NPI
Jessica L. Root, PA-C
Medical Physician Assistant · Wormleysburg, PA
NPI number
1063776359
Active
Practice location
1000 N Front St
Wormleysburg, PA 17043-1034
Fax (717) 441-0592
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MA055588 (PA) |
Medical Physician Assistant: Definition to come...
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About NPI 1063776359
Jessica L. Root, PA-C's National Provider Identifier is 1063776359, issued on Jul 2, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wormleysburg, PA. The record was last updated on Apr 9, 2021.