Most Relevant Information
Provider Data
| NPI Number: | 1003500596 |
| Provider Name: | ASHLEY JESSEN PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | OA006619 |
Most Important Dates
| Enumeration Date: | 06/07/2023 |
| Last Updated: | 10/04/2023 |
Provider Practice Location
2775 SCHOENERSVILLE RD
BETHLEHEM
PA
180177307
Practice Location Phone/Fax
| Phone: | 6104028900 |
| Fax: | 6108610258 |
Provider Mailing Location
2100 MACK BLVD
ALLENTOWN
PA
181035622
Provider Mailing Phone/Fax
| Phone: | 5707902391 |
| Fax: |