Individual
JACQUELYNN ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
22 ST PAUL DR STE 201, CHAMBERSBURG, PA 17201-1036
(717) 217-6944
(717) 217-6955
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 709-6529
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP020810
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103722844
—
PA
Enumeration date
02/25/2019
Last updated
09/08/2021
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