Individual provider · Type 1 NPI

Jennifer Lee Anderson, PA

Medical Physician Assistant · Philadelphia, PA

NPI number 1659530673 Active

Practice location

2301 S Broad St
Philadelphia, PA 19148-3542

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA051993 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1659530673

Jennifer Lee Anderson, PA's National Provider Identifier is 1659530673, issued on Jun 5, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 5, 2008.