Individual
DENISE L DEJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4310 LONDONDERRY RD, SUITE 109, HARRISBURG, PA 17109-5300
(717) 988-0611
(717) 231-8778
Mailing address
409 S 2ND ST, SUITE 2F, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP010318
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102961268
—
PA
Enumeration date
08/05/2009
Last updated
04/21/2017
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