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Contact Information

JENNIFER H FORTENBERRY, PA
2401 PARK DR STE 101
HARRISBURG, PA17110-9303
 Phone: 717-686-9842
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JENNIFER H FORTENBERRY · (Female)

NPI # 1609012368
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 12/31/2008
Last updated 10/25/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2002014284
  • PA License # MA056018
  • PA Other 1620177 GATEWAY MEDICARE ASSURED
  • PA Other 2888522 HIGHMARK BLUE SHIELD-FREEDOM BLUE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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