Healthcare Provider Details

I. General information

NPI: 1427726991
Provider Name (Legal Business Name): JAYLON G SNYDER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAYLON HARTLEY

II. Dates (important events)

Enumeration Date: 08/31/2021
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 S CEDAR CREST BLVD STE 215
ALLENTOWN PA
18103-6271
US

IV. Provider business mailing address

2100 MACK BLVD FL 4
ALLENTOWN PA
18103-5622
US

V. Phone/Fax

Practice location:
  • Phone: 610-402-6986
  • Fax:
Mailing address:
  • Phone: 484-629-2282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberMA062842
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: