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
Primary
SP018587
PA
363LA2100X
Acute Care Nurse Practitioner
SP018587
PA
Other
Enumeration date
06/05/2018
Last updated
09/11/2023
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