Individual
MISS JESSICA R MUSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1322 EISENHOWER BLVD, JOHNSTOWN, PA 15904-3307
(814) 266-8840
(814) 266-2176
Mailing address
1322 EISENHOWER BLVD, JOHNSTOWN, PA 15904-3307
(814) 266-8840
(814) 266-2176
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
SP007946
PA
208000000X
Pediatrics Physician
Primary
SP007946L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007708200001
—
PA
Enumeration date
12/11/2006
Last updated
08/25/2011
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