Provider Demographics
NPI:1619939964
Name:HOEHL, JENNIFER C (MPAS)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:C
Last Name:HOEHL
Suffix:
Gender:
Credentials:MPAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 VILLAGE RUN RD STE 308
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-6316
Mailing Address - Country:US
Mailing Address - Phone:724-934-1900
Mailing Address - Fax:
Practice Address - Street 1:1500 VILLAGE RUN RD STE 308
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-6316
Practice Address - Country:US
Practice Address - Phone:724-934-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA051759363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA094205Medicare ID - Type Unspecified
PAQ51120Medicare UPIN