Individual provider · Type 1 NPI

Jenny Song Minchew, PA-C

Physician Assistant · Conshohocken, PA

NPI number 1306462569 Active

Practice location

48A E Ridge Pike
Conshohocken, PA 19428-2117

Fax (484) 533-3990

Mailing address

400 Fayette St Ste 180
Conshohocken, PA 19428-2186

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XOA006828 (PA)
Physician Assistant Primary 363A00000XMA064682 (PA)
Physician Assistant 363A00000X0010-10955 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1306462569

Jenny Song Minchew, PA-C's National Provider Identifier is 1306462569, issued on Jun 23, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Conshohocken, PA. The record was last updated on Sep 28, 2026.