Provider Demographics
NPI:1235399510
Name:BATRUS, JENNIFER A (PA)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:BATRUS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 334
Mailing Address - Street 2:OLD ROUTE 220
Mailing Address - City:TIPTON
Mailing Address - State:PA
Mailing Address - Zip Code:16684-0334
Mailing Address - Country:US
Mailing Address - Phone:814-684-4600
Mailing Address - Fax:814-684-5557
Practice Address - Street 1:OLD ROUTE 220
Practice Address - Street 2:
Practice Address - City:TIPTON
Practice Address - State:PA
Practice Address - Zip Code:16684-0334
Practice Address - Country:US
Practice Address - Phone:814-684-4600
Practice Address - Fax:814-684-5557
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA002600L363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant