Individual provider · Type 1 NPI

Jacqueline Senour, PA-C

Physician Assistant · Philadelphia, PA

NPI number 1891620852 Active

Practice location

333 Cottman Ave
Philadelphia, PA 19111-2434

Mailing address

3509 N Broad St
Philadelphia, PA 19140-4105

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA067892 (PA)

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 1891620852

Jacqueline Senour, PA-C's National Provider Identifier is 1891620852, issued on Jun 12, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 28, 2026.