Individual
KATHLEEN JESIOLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
120 S TAN ALY STE 1, FREDERICKSBURG, PA 17026-9349
(717) 865-6644
(717) 865-5666
Mailing address
615 CUMBERLAND ST, LEBANON, PA 17042-5233
(717) 273-6741
(717) 273-6337
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TP006006B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50000765
CAPITAL BLUE CROSS
—
Enumeration date
08/23/2005
Last updated
01/19/2021
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