Individual
JICENDA B CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6451 VILLAGE LN, MACUNGIE, PA 18062-8484
(610) 967-2772
(610) 674-2528
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 330-1377
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP024706
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP024706
STATE LICENSE
PA
Enumeration date
03/03/2022
Last updated
03/03/2022
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