Individual
JOELLEN GITTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
743 JEFFERSON AVE, SUITE 206, SCRANTON, PA 18510-1635
(570) 341-9818
(570) 341-9950
Mailing address
743 JEFFERSON AVE, SUITE 206, SCRANTON, PA 18510-1635
(570) 341-9818
(570) 341-9950
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN232769L
PA
163WW0101X
Ambulatory Women's Health Care Registered Nurse
UP003033C
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
UP003033C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028855130002
—
PA
05
—
1028855130003
—
PA
01
—
RN232769L
RN LICENSE
PA
01
—
UP003033C
NURSE PRACTIONER LICENSE
PA
Enumeration date
05/11/2006
Last updated
11/22/2016
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