MS. Jacquelyn Elise Pennie, PA

NPI #1134536055 in Dedham, Massachusetts

Provider Information

NPI Number: 1134536055
Entity Type: Individual
Name: MS. Jacquelyn Elise Pennie, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 14, 2014
Last Updated: Sep 13, 2021

Practice Location

Address: 1 LYONS ST
City: Dedham
State: Massachusetts
ZIP Code: 02026-5599
Phone: (508) 880-0012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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