Healthcare Provider Details

I. General information

NPI: 1528066081
Provider Name (Legal Business Name): AISLYNN RUTH JENKINS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 ARENTZEN BLVD STE 101
CHARLEROI PA
15022-1085
US

IV. Provider business mailing address

701 TECHNOLOGY DR STE 150
CANONSBURG PA
15317-9531
US

V. Phone/Fax

Practice location:
  • Phone: 724-483-3581
  • Fax: 724-483-3483
Mailing address:
  • Phone: 412-531-2902
  • Fax: 412-531-2948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA003305-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: