NPI 1225136161 · live from the CMS NPI Registry
Jenifer Abbott, PA-C
Physician Assistant in Havre De Grace, MD. National Provider Identifier 1225136161, active.
NPI record
| NPI | 1225136161 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 930 Revolution St, Havre De Grace, MD 21078 |
| Practice phone | 410-939-0961 |
| Enumerated | September 21, 2006 |
| Last updated | March 31, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | C0003395 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.