Provider Demographics
NPI:1699240127
Name:EMERT, JOCELYN ANNE (PA)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:ANNE
Last Name:EMERT
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:JOCELYN
Other - Middle Name:ANNE
Other - Last Name:MASTALER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:100 EXCELA HEALTH DR STE 202
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-9001
Mailing Address - Country:US
Mailing Address - Phone:724-537-7100
Mailing Address - Fax:724-537-9847
Practice Address - Street 1:100 EXCELA HEALTH DR STE 202
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-9001
Practice Address - Country:US
Practice Address - Phone:724-537-7100
Practice Address - Fax:724-537-9847
Is Sole Proprietor?:No
Enumeration Date:2018-10-11
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA060179363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical