Individual
JAENELL LYNN DITSIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
460 N READING RD, EPHRATA, PA 17522-9606
(717) 721-4840
(717) 738-3558
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 721-4840
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
SP011497
PA
Other
Enumeration date
07/25/2011
Last updated
09/13/2023
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