Laurie A Jenkins, P.A.
Individual provider Active NPI Family Medicine Physician · Hughesville, PA
NPI 1760424410 · NPPES record last updated Sep 18, 2023
Key facts
- NPI
- 1760424410
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0110003712 (VA)
- Practice address
- 106 Route 118 Hwy
Hughesville, PA 17737-8620 - Phone
- (949) 274-0938
- NPI assigned
- Jun 10, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OA003294 | PA | |
| Family Medicine Physician | 207Q00000X | 0110003712 | VA | Yes |
Addresses
Primary practice location
106 Route 118 Hwy
Hughesville, PA 17737-8620
Mailing address
106 Route 118 Hwy
Hughesville, PA 17737-8620
Phone (949) 274-0938
Other names
- Laurie Ann Fontaine
Other providers in Hughesville, PA
- Heather Heller
- Charles Alexander Hoinowski
- Hughesville Chiropractic P.C.
- Hughesville Volunteer Fire Department
- Thomas S Janca
- Corinne Leigh Jones
- Il Gon Kim
- Quinn Kirk
- Sarah A Knight
- Lycoming County Montgomery'S Pharmacy
All providers in Hughesville, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.