Individual
JONELLE R DERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-3380
(717) 782-5716
Mailing address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-3380
(717) 782-5716
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP023959
PA
363LF0000X
Family Nurse Practitioner
Primary
SP023959
PA
Other
Enumeration date
07/02/2021
Last updated
07/14/2023
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