Active NPIIndividual provider

Mrs. Jesse E Pannell, PA-C

Physician Assistant, Medical in Trenton, New Jersey

NPI Number1417257502
Practice location
750 Brunswick Ave, Trenton, NJ 08638-4143
Fax
—
Last updated
November 4, 2016

Jesse Elizabeth Pannell is a Physician Assistant, Medical based in Trenton, NJ. Jesse Elizabeth Pannell practices in Trenton, NJ and has the professional credentials of PA-C. The NPI Number for Jesse Elizabeth Pannell is 1417257502 and holds a License No. MA054714 (PA). The current practice location address for Jesse Elizabeth Pannell is 750 Brunswick Ave, Trenton, NJ 08638-4143 and can be reached out via phone at 609-394-6000.

Provider Profile Details

NPI Number
1417257502
Provider Name
Jesse Elizabeth Pannell
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
750 Brunswick Ave, Trenton, NJ 08638-4143
Phone Number
609-394-6000
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Other Names
Miss Jesse Elizabeth Sisco (Former Name)
Provider Enumeration Date
October 24, 2010
Last Update Date
November 4, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
750 Brunswick Ave
Trenton, NJ 08638-4143
Zip
08638-4143
Phone Number
609-394-6000
Trenton, NJ 08638Get directions →

Provider Business Mailing Address Details

Address
3131 Princeton Pike
Ste 208
Lawrenceville, NJ 08648-2201
City
Lawrenceville
State
NJ
Zip
08648-2201
Phone Number
609-815-7829
Fax Number
609-815-7894

License Information

License Number (1)
MA054714
License State (1)
PA
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
25MP00251400
License State (2)
NJ
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Jesse E Pannell, PA-C?

The NPI number of Mrs. Jesse E Pannell, PA-C is 1417257502. It was assigned on October 24, 2010 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jesse E Pannell, PA-C?

Mrs. Jesse E Pannell, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in PA under license number MA054714.

Where does Mrs. Jesse E Pannell, PA-C practice?

The practice location is 750 Brunswick Ave, Trenton, NJ 08638-4143. The office can be reached at 609-394-6000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417257502 directly on the NPPES registry website.

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