Individual
JENNIFER A LIEBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.N., R.N.
Contact information
Practice address
807 LAWN AVE, SELLERSVILLE, PA 18960-1549
(215) 257-6551
(215) 257-9347
Mailing address
807 LAWN AVE, P.O. BOX 32, SELLERSVILLE, PA 18960-1549
(215) 257-6551
(215) 257-9347
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN516456L
PA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN516456L
PA
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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