Individual
JENNIFER L FRUSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1200 OLD YORK RD STE 2B, ABINGTON, PA 19001-3720
(215) 481-2222
(215) 481-4361
Mailing address
2500 MARYLAND RD STE 400, WILLOW GROVE, PA 19090-1225
(215) 481-4143
(215) 481-6790
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP018207
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP018207
PA
Other
Enumeration date
12/04/2017
Last updated
10/14/2019
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