Individual ProviderJennifer CervinoPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address51 N 39th St, Phi-2c, Philadelphia, PA 19104-2640(215) 662-9010PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Cervino does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1316094469Provider TypeIndividualFull NameCervino, JenniferCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date1/4/2007Last Updated2/11/2008Contact InformationPractice LocationPractice Address51 N 39th St, Phi-2c, Philadelphia, PA 19104-2640Phone(215) 662-9010Fax(215) 615-0828Mailing LocationMailing Address51 N 39th St, Phi-2c, Philadelphia, PA 19104-2640PhoneUnlisted PhoneFax(215) 615-0828Provider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA052112Pennsylvania