Individual
JENNIFER ANNE NOGGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
252 S 4TH ST FL 2, LEBANON, PA 17042-6111
(717) 270-3751
(717) 270-3754
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 270-3754
(717) 270-3754
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN620116
PA
363L00000X
Nurse Practitioner
SP018966
PA
363LF0000X
Family Nurse Practitioner
Primary
SP018966
PA
Other
Enumeration date
08/02/2018
Last updated
06/09/2020
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