Individual provider · NPI-1

Jennie Abernathy, PA

Physician Assistant · Cleveland, OH

NPI number1255003398
StatusActive
Last updated in NPPESDec 7, 2021

Details

NPI
1255003398
Entity type
Individual (NPI-1)
Name
Jennie Abernathy
Credential
PA
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 28, 2021
Certification date
Dec 7, 2021
Last updated
Dec 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

3665 W 117th St
Cleveland, OH 44111-5215

Phone 216-251-5464

Mailing address

24500 Center Ridge Rd Ste 375
Westlake, OH 44145-5631

Phone 440-467-1954

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