Individual
MRS. TERRY PAULSEN JAKOVAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
451 HYDE PARK RD, HYDE PARK PLAZA, LEECHBURG, PA 15656-9417
(724) 282-3756
(724) 282-8995
Mailing address
451 HYDE PARK RD, HYDE PARK PLAZA, LEECHBURG, PA 15656-9417
(724) 282-3756
(724) 282-8995
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN224526L
PA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
TP001134G
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1991407
HIGHMARK
PA
01
—
JA877419
HIGHMARK
PA
Enumeration date
04/13/2006
Last updated
12/20/2011
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