Individual
JERILYN JOY VANFOSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
13424 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-2658
(240) 313-9890
(240) 313-9891
Mailing address
13424 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-2658
(240) 313-9890
(240) 313-9891
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R173367
MD
Other
Enumeration date
02/14/2014
Last updated
01/27/2016
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