Individual
MRS. JESSICA ERIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
132 ABIGAIL LANE, PORT MATILDA, PA 16870-7153
(814) 272-7713
(814) 272-6507
Mailing address
132 ABIGAIL LN, PORT MATILDA, PA 16870-7153
(814) 272-7713
(814) 272-6507
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
RN525954L
PA
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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