Individual
JENNIFER FELDBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
145 HOSPITAL AVE STE 215, DU BOIS, PA 15801-1464
(814) 371-1717
(814) 375-4422
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-4200
(814) 375-4232
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP013966
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103135358
—
PA
Enumeration date
07/11/2014
Last updated
09/10/2018
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