Individual
JACKLYN RAE BAHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 US HIGHWAY 220, MUNCY, PA 17756-6561
(800) 230-4565
Mailing address
255 US HIGHWAY 220, MUNCY, PA 17756-6561
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP032079
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/04/2024
Last updated
04/08/2025
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