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Individual

JESSICA R STEFANIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
4310 LONDONDERRY RD STE 202, HARRISBURG, PA 17109-5329
(717) 791-2520
(717) 920-4361
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
(717) 791-2520
(717) 703-0061

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN56548
PA
363L00000X
Nurse Practitioner
SP012546
PA
363LF0000X
Family Nurse Practitioner
Primary
SP012546
PA

Other

Enumeration date
09/07/2012
Last updated
12/19/2020
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