Individual
JESSICA LYNN DILLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
105 NASON DR, ROARING SPRING, PA 16673
(814) 224-4121
(814) 224-6247
Mailing address
105 NASON DR, ROARING SPRING, PA 16673-1202
(814) 224-4121
(814) 224-6247
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP011441
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035582560001
—
PA
Enumeration date
06/21/2011
Last updated
06/20/2019
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