Individual
MISS JILLIAN FRANCES QUEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1338 BRISTOL PIKE STE 202, ANDALUSIA, PA 19020-5679
(215) 632-5437
(215) 824-4114
Mailing address
1338 BRISTOL PIKE STE 202, ANDALUSIA, PA 19020-5679
(215) 632-5437
(215) 824-4114
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP014105
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030043470003
—
PA
Enumeration date
01/26/2015
Last updated
12/26/2023
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