MEDICARE: JENNA ROSE SERRANO

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	027455	NY

General Provider Information

NPI Number	:	1164026795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNA ROSE SERRANO

Provider Business Mailing Address
First Line	:	23 PRINCESS CT
Second Line	:
City	:	BIRDSBORO
State	:	PA
Zip	:	19508-8696
Country	:	US
Telephone Number	:	845-389-5354
Fax Number	:

Provider Business Practice Location Address
First Line	:	2160 STATE RD
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-1812
Country	:	US
Telephone Number	:	223-287-9000
Fax Number	:

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

Provider Enumeration Date	:	11/24/2020
Last Update Date	:	12/15/2025

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Directions to “ JENNA ROSE SERRANO ” Practice Location

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