| Doctor Name: | JESSICA M MCGRATH |
| NPI Number: | 1336348028 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A.-C |
| License Number: | OA000905 |
| Business Practice Address: | 219 S Balliet St Frackville, PA - 179312105 |
| Business Phone Number: | 5708741491 |
| Business Fax Number: | 5708743404 |
| Mailing Address: | 48 Tunnel Road, Suite 203 POTTSVILLE |
| State: | PA |
| Postal Code: | 179013885 |
| Phone Number: | 5706225455 |
| Fax Number: | 5706225493 |
| NPI Enumeration Date: | 07/13/2007 |
| NPI Last Update Date: | 01/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | OA000905 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |