Individual
JONATHAN AARON MIKNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP, AGACNP-BC
Contact information
Practice address
1995 TECHNOLOGY PKWY, MECHANICSBURG, PA 17050-8522
(717) 231-8772
(717) 231-8435
Mailing address
121 STONEBRIDGE DR, DILLSBURG, PA 17019-8310
(717) 419-0712
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP020575
PA
363LA2200X
Adult Health Nurse Practitioner
SP020575
PA
363LC0200X
Critical Care Medicine Nurse Practitioner
SP020575
PA
363LG0600X
Gerontology Nurse Practitioner
SP020575
PA
Other
Enumeration date
08/08/2019
Last updated
01/27/2021
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