Individual
JAMIE L PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
90 SHENANGO ST, GREENVILLE, PA 16125-2060
(724) 588-4240
Mailing address
90 SHENANGO ST, GREENVILLE, PA 16125-2060
(724) 588-4240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP015055
PA
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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