Individual provider · Type 1 NPI

Jessica Rose Fairorth

Physician Assistant · Wynnewood, PA

NPI number 1679448047 Active

Practice location

100 E Lancaster Ave
Wynnewood, PA 19096-3450

Mailing address

335 Lenape Dr
Berwyn, PA 19312-1861

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1679448047

Jessica Rose Fairorth's National Provider Identifier is 1679448047, issued on Oct 7, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wynnewood, PA. The record was last updated on Oct 7, 2025.