Individual
JODIE W STABINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN255587L
PA
363L00000X
Nurse Practitioner
Primary
SP008755
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031411210002
—
PA
Enumeration date
05/10/2006
Last updated
04/30/2018
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