Individual
FODAY JANNEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 N 2ND ST STE 401, HARRISBURG, PA 17101-1071
(860) 788-6404
(877) 794-3529
Mailing address
PO BOX 2762, WORCESTER, MA 01613-2762
(860) 788-6404
(877) 794-3529
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
SP019800
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP028389
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP019800
LICENSE
PA
Enumeration date
01/02/2019
Last updated
12/21/2023
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