Individual
JORDAN L KOEBELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
420 S 5TH AVE, WEST READING, PA 19611-2143
(484) 628-8000
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP022888
PA
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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