Provider Demographics
NPI:1962605758
Name:DANKEL, JENNIFER LYNN (PA)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LYNN
Last Name:DANKEL
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:LYNN
Other - Last Name:HARVEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:4906 PENN AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:SINKING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-8622
Mailing Address - Country:US
Mailing Address - Phone:610-484-3761
Mailing Address - Fax:610-484-3549
Practice Address - Street 1:4906 PENN AVE STE 202
Practice Address - Street 2:
Practice Address - City:SINKING SPRING
Practice Address - State:PA
Practice Address - Zip Code:19608-8622
Practice Address - Country:US
Practice Address - Phone:610-484-3761
Practice Address - Fax:610-484-3549
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016566363A00000X
PATMA051623363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAGU039851OtherMEDICARE GROUP
NY02970670Medicaid
NYJ400269478Medicare PIN
NY02970670Medicaid