Individual provider · Type 1 NPI

Jessica D. Faidley

Medical Physician Assistant · Hagerstown, MD

NPI number 1902234214 Active

Practice location

11110 Medical Campus Rd, Suite 151
Hagerstown, MD 21742-6700

Call (301) 797-7600 Map

Fax (301) 797-1249

Mailing address

11110 Medical Campus Road, Suite 151
Hagerstown, MD 21742

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0005202 (MD)

Medical Physician Assistant: Definition to come...

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About NPI 1902234214

Jessica D. Faidley's National Provider Identifier is 1902234214, issued on Oct 23, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hagerstown, MD. The record was last updated on Nov 18, 2015.