Provider Demographics
NPI:1447903992
Name:JUERS, ANDREA CATHERINE (PA-C)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:CATHERINE
Last Name:JUERS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 S MAIN ST STE 215
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-1479
Mailing Address - Country:US
Mailing Address - Phone:302-659-4520
Mailing Address - Fax:302-659-4525
Practice Address - Street 1:100 S MAIN ST STE 215
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-1479
Practice Address - Country:US
Practice Address - Phone:302-659-4520
Practice Address - Fax:302-659-4525
Is Sole Proprietor?:No
Enumeration Date:2022-02-03
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC5-0011681363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant