Provider Demographics
NPI:1770506495
Name:VARNER, JARED C (PA-C)
Entity Type:Individual
Prefix:
First Name:JARED
Middle Name:C
Last Name:VARNER
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:2 W CRESCENT PARK
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365-2111
Mailing Address - Country:US
Mailing Address - Phone:814-723-4973
Mailing Address - Fax:814-723-8952
Practice Address - Street 1:143 PLEASANT DR
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-3371
Practice Address - Country:US
Practice Address - Phone:814-726-3310
Practice Address - Fax:147-231-3388
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2021-08-04
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Provider Licenses
StateLicense IDTaxonomies
PAMA-052147363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA093884HTMMedicare ID - Type UnspecifiedHGSA
Q50392Medicare UPIN