Individual
REGINA E JANOCKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033
(800) 243-1455
(717) 531-7269
Mailing address
PO BOX 854, MC-A410, HERSHEY, PA 17033-0854
(717) 531-1159
(717) 531-7269
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP007362
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP007362
LICENSE
PA
Enumeration date
06/01/2007
Last updated
07/08/2007
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