MEDICARE: MRS. REBECCA CORRYN JOSSEY PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	50.005128RX	OH
2	363A00000X	Physician Assistant	MA061386	PA

General Provider Information

NPI Number	:	1114379781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. REBECCA CORRYN JOSSEY PA-C

Provider Business Mailing Address
First Line	:	330 ROBBINS STATION RD
Second Line	:
City	:	NORTH HUNTINGDON
State	:	PA
Zip	:	15642-2277
Country	:	US
Telephone Number	:	724-261-9958
Fax Number	:

Provider Business Practice Location Address
First Line	:	419 RODI RD
Second Line	:
City	:	PENN HILLS
State	:	PA
Zip	:	15235-4520
Country	:	US
Telephone Number	:	330-543-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2016
Last Update Date	:	04/02/2020

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