JACQUELINE KERNAGHAN


Address: 723 Saxer Ave, Springfield, PA 19064-3503
Phone: 6103944755

JACQUELINE KERNAGHAN (NPI# 1295885168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295885168
Entity Type Individual
Full Name JACQUELINE KERNAGHAN
Credential PA-C
Practice Address 723 Saxer Ave
Springfield
PA 19064-3503
Practice Telephone 6103944755
Practice Fax Number 6106269887
Mailing Telephone 6103944755
Mailing Fax Number 6106269887
Enumeration Date 2007-01-11
Last Update Date 2015-04-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
MA052801 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 723 SAXER AVE
City SPRINGFIELD
State PA
Zip Code 19064-3503

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871122168 Alexandra Emmanuelle Rochman Physician Assistant 54 W Crystal Brook Dr, Springfield, MA 01118-1946 2020-04-07
1740740737 Western New England University Physician Assistant 215 Wilbraham Road, Springfield, MA 01119 2019-03-25
1033462387 Miguel Angel Medina Physician Assistant 1900 South Sunshine Ave., Springfield, MO 65807 2012-10-24
1770850216 Lauren Jennifer Navas Physician Assistant 100 River St Ste 2, Springfield, VT 05156-2930 2011-11-29
1295746733 Gwen Wright Physician Assistant 194 W Sproul Rd, Suite 105, Springfield, PA 19064-2027 2006-08-10
1164490710 Stacie L Pierce Physician Assistant 3721 W El Castile St, Springfield, MO 65807-5431 2006-03-09
1245206432 Annette K Bates Physician Assistant 819 Worcester St Ste 3, Springfield, MA 01151-1056 2006-02-27
1518947159 Louis Patrick Favata Physician Assistant 140 High St., Springfield, MA 01199 2006-01-19
1649257031 Scott D Rubin Physician Assistant 3400 Main Street, Springfield, MA 01107-1113 2005-12-27
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Competitor

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City SPRINGFIELD
Zip Code 19064

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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