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Individual

MRS. JENNIFER ANNE BALON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, CRNP

Contact information

Practice address
MEMORIAL MEDICAL CENTER, 1086 FRANKLIN ST., JOHNSTOWN, PA 15905
(814) 534-3610
(814) 534-5636
Mailing address
124 KEAFER RD, JOHNSTOWN, PA 15905-5512
(814) 534-3610
(814) 534-5636

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP005649B
PA

Other

Enumeration date
06/06/2007
Last updated
01/04/2012
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