Individual
JESSICA WHITACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 S CENTER AVE, SOMERSET, PA 15501-2033
(814) 443-5000
Mailing address
909 MAIN ST, BERLIN, PA 15530-1609
(724) 366-4408
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN615687
PA
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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