MEDICARE: JESSICA KAUFMAN

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	363LF0000X	Family Nurse Practitioner	SP022229	PA

General Provider Information

NPI Number	:	1215545645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA KAUFMAN

Provider Business Mailing Address
First Line	:	7837 LAMOR RD
Second Line	:	UPMC HORIZON HOSPITAL
City	:	MERCER
State	:	PA
Zip	:	16137-2215
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 FORBES AVE STE 10040
Second Line	:	UPMC HORIZON HOSPITAL
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-3214
Country	:	US
Telephone Number	:	724-494-9272
Fax Number	:

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

Provider Enumeration Date	:	07/22/2020
Last Update Date	:	06/15/2021

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