MEDICARE: JENNIFER C HOEHL MPAS

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	363AM0700X	Medical Physician Assistant	MA051759	PA

General Provider Information

NPI Number	:	1619939964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER C HOEHL MPAS

Provider Business Mailing Address
First Line	:	1500 VILLAGE RUN RD STE 308
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-6316
Country	:	US
Telephone Number	:	724-934-1900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 VILLAGE RUN RD STE 308
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-6316
Country	:	US
Telephone Number	:	724-934-1900
Fax Number	:

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

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	03/11/2025

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