Provider Demographics
NPI:1992269849
Name:EUTSEY, JORDEN LEIGH (PA-C)
Entity type:Individual
Prefix:
First Name:JORDEN
Middle Name:LEIGH
Last Name:EUTSEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:800 PLAZA DR STE 400
Mailing Address - Street 2:
Mailing Address - City:ROSTRAVER TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15012-4019
Mailing Address - Country:US
Mailing Address - Phone:724-379-5802
Mailing Address - Fax:724-823-0286
Practice Address - Street 1:800 PLAZA DR STE 400
Practice Address - Street 2:
Practice Address - City:ROSTRAVER TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15012-4019
Practice Address - Country:US
Practice Address - Phone:724-379-5802
Practice Address - Fax:724-823-0286
Is Sole Proprietor?:No
Enumeration Date:2019-01-24
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant