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Ms. Jennifer H Fortenberry, PA
Medical Physician Assistant in Harrisburg, Pennsylvania
NPI 1609012368

Jennifer H Fortenberry is a Medical Physician Assistant based in York, PA and is specialized in Medical. Jennifer H Fortenberry practices in Harrisburg, PA and has the professional credentials of PA. The NPI Number for Jennifer H Fortenberry is 1609012368 and holds a License No. 2002014284 (Pennsylvania).

The current practice location address for Jennifer H Fortenberry is 2401 Park Dr Ste 101, Harrisburg, PA and can be reached out via phone at 717-686-9842.

Location: 2401 Park Dr Ste 101, Harrisburg, PA, 17402-9001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609012368
Provider Name
Jennifer H Fortenberry
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2401 Park Dr Ste 101, Harrisburg, PA, 17402-9001
Phone Number
717-686-9842
Fax Number
Provider Enumeration Date
12/31/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1620177 01 PA GATEWAY MEDICARE ASSURED
2888522 01 PA HIGHMARK BLUE SHIELD-FREEDOM BLUE
institution
Provider Business Practice Location Address Details
Address
2401 Park Dr Ste 101
City
Harrisburg
State
Pennsylvania
Zip
17110-9303
Phone Number
717-686-9842
Fax Number
person
Provider Business Mailing Address Details
Address
2401 Park Dr Ste 101
City
Harrisburg
State
Pennsylvania
Zip
17110-9303
Phone Number
717-686-9842
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Foot and Ankle Surgery
Taxonomy
207XX0004X
License No.
MA056018 (Pennsylvania)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
2002014284 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
2002014284 (Missouri)
Definition
Definition to come...
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