Fortenberry, Jennifer H

Fortenberry, Jennifer H is an individual health care provider with primary practice located at 2401 Park Dr Ste 101 , Harrisburg PA 17110-9303. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Fortenberry, Jennifer H can be contacted via phone (717) 686-9842.

Contact Information

Primary practice address
2401 Park Dr Ste 101 Harrisburg PA 17110-9303
Phone: (717) 686-9842
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2002014284 Missouri
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 2002014284 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA056018 Pennsylvania

Profile Details

NPI number 1609012368
LBN Legal business name Fortenberry, Jennifer H
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2008
Last updated Oct 25th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609012368 NPPES
Pennsylvania Other 1620177 GATEWAY MEDICARE ASSURED
Pennsylvania Other 2888522 GATEWAY MEDICARE ASSURED

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