Laurie A Jenkins, P.A.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0110003712 Issued in VA

Practice address

106 Route 118 Hwy
Hughesville, PA 17737-8620

Phone

(949) 274-0938

NPI assigned

Jun 10, 2006

Last updated

Sep 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Laurie Ann Fontaine Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1760424410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ROUTE 118 HWY",
            "city": "HUGHESVILLE",
            "state": "PA",
            "postal_code": "177378620",
            "telephone_number": "949-274-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ROUTE 118 HWY",
            "city": "HUGHESVILLE",
            "state": "PA",
            "postal_code": "177378620",
            "telephone_number": "949-274-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "LAURIE",
        "middle_name": "A",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OA003294",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0110003712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "FONTAINE",
            "middle_name": "ANN",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Heller, OTR/L
• Charles Alexander Hoinowski, D.C.
• Hughesville Chiropractic P.C.
• Hughesville Volunteer Fire Department
• Thomas S Janca, MSPT
• Corinne Leigh Jones, MSW, LCSW
• Il Gon Kim, M.D.
• Quinn Kirk, MD
• Sarah A Knight, LCSW
• Lycoming County Montgomery's Pharmacy

• Family Medicine Physician in Hughesville, PA
• Providers in Hughesville, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.