Individual provider · Type 1 NPI

Jennifer H. Fortenberry, PA

Medical Physician Assistant · Harrisburg, PA

NPI number 1609012368 Active

Practice location

2401 Park Dr Ste 101
Harrisburg, PA 17110-9303

Mailing address

3421 Concord Rd
York, PA 17402-9001

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X2002014284 (MO)
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X2002014284 (MO)
Medical Physician Assistant Primary 363AM0700XMA056018 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1609012368

Jennifer H. Fortenberry, PA's National Provider Identifier is 1609012368, issued on Dec 31, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Harrisburg, PA. The record was last updated on Oct 25, 2019.