Individual
JAMIE ANN LILIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3141 CAPE HORN RD, RED LION, PA 17356-9071
(717) 246-5180
Mailing address
3141 CAPE HORN RD, RED LION, PA 17356-9071
(717) 246-5180
(717) 246-2005
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
201908210NP-PP
OR
363LA2200X
Adult Health Nurse Practitioner
Primary
SP011666
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103289908
—
PA
Enumeration date
10/13/2011
Last updated
11/12/2025
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