Healthcare Provider Details

I. General information

NPI: 1649372103
Provider Name (Legal Business Name): JESSICA MARION HUTCHISON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2006
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5609 FIFTH AVE
PITTSBURGH PA
15232
US

IV. Provider business mailing address

4306 WINTERBURN AVE
PITTSBURGH PA
15207-1165
US

V. Phone/Fax

Practice location:
  • Phone: 412-362-3500
  • Fax: 412-362-1951
Mailing address:
  • Phone: 412-353-9963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP008323
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: