Individual
MRS. JENNIFER LYNN MABOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5115 CENTRE AVE FL 2, PITTSBURGH, PA 15232-1301
(412) 692-2606
(412) 692-2610
Mailing address
318 GLADE RUN RD, EVANS CITY, PA 16033-7720
(724) 586-1192
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TP006405B
PA
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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