Individual
JESSE KABANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, CRNP, FNP-C
Contact information
Practice address
1716 MAIN ST, BLAKELY, PA 18447-1362
(570) 342-3314
(570) 342-3315
Mailing address
1120 FOSTER ST, SCRANTON, PA 18508-2123
(570) 778-7210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
SP026173
PA
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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