Individual
MRS. MARY JO BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
412 COMO ROAD, LAKE COMO, PA 18437
(570) 251-6641
(570) 253-8228
Mailing address
601 PARK STREET, HONESDALE, PA 18431
(570) 251-6641
(570) 253-8228
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
TP004322B
PA
Other
Enumeration date
08/11/2006
Last updated
05/09/2013
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