Jennifer Lee Brillhart, PAC
Physician Assistant, Surgical in York, PA. Individual provider (NPI-1).
NPI number1609802461
StatusActive
Last updated in NPPESMay 19, 2021
Details
- NPI
- 1609802461
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer Lee Brillhart
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2006
- Certification date
- Apr 28, 2021
- Last updated
- May 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | MA002018L | PA | Yes |
| 363A00000X | Physician Assistant | MA002018L | PA | |
| 363AM0700X | Physician Assistant, Medical | MA002018L | PA |
Other names
- Jennifer Ann Brillhart (Former Name)
Practice location
30 Monument StreetSte 1100
York, PA 17403-1740
Phone 717-851-6454 · Fax 717-851-1665
Mailing address
3421 Concord RdYork, PA 17402-9001
Phone 717-851-6454 · Fax 717-851-1665
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