Provider Demographics
NPI:1992091268
Name:HOFFMAN, JESSICA A (PA-C)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:A
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1655 VALLEY CENTER PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-2347
Mailing Address - Country:US
Mailing Address - Phone:267-282-3241
Mailing Address - Fax:
Practice Address - Street 1:1655 VALLEY CENTER PKWY
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-2347
Practice Address - Country:US
Practice Address - Phone:267-282-3241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-24
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA051243363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant