Most Relevant Information
Provider Data
| NPI Number: | 1003524216 |
| Provider Name: | JESSICA TEETER MPH, PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | MA064185 |
Most Important Dates
| Enumeration Date: | 11/08/2022 |
| Last Updated: | 03/21/2024 |
Provider Practice Location
2020 GOOD HOPE RD
ENOLA
PA
170251237
Practice Location Phone/Fax
| Phone: | 7177283636 |
| Fax: |
Provider Mailing Location
790 DEYO RD
CORNING
NY
148309022
Provider Mailing Phone/Fax
| Phone: | 6077696637 |
| Fax: |