Individual
JAMIE ECKENROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
16 ROSE STREET, JOHNSTOWN, PA 15905-4327
(814) 539-0257
(814) 536-0963
Mailing address
16 ROSE STREET, JOHNSTOWN, PA 15905-4327
(814) 539-0257
(814) 536-0963
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
SP018587
PA
363L00000X
Nurse Practitioner
Primary
SP018587
PA
363LA2100X
Acute Care Nurse Practitioner
SP018587
PA
363LA2200X
Adult Health Nurse Practitioner
SP018587
PA
Other
Enumeration date
06/05/2018
Last updated
07/07/2026
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