Individual
JACQUELINE BRYSACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
625 S DUKE ST, LANCASTER, PA 17602-4509
(717) 299-6371
Mailing address
304 N WATER ST, LANCASTER, PA 17603-3374
(717) 299-6371
(717) 945-1587
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP015407
PA
Other
Enumeration date
07/18/2014
Last updated
08/27/2019
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