Individual
JAMIE LYNN KONSCHNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1620 HIGHWAY 315 BLVD, WILKES BARRE, PA 18702-7125
(570) 823-8896
Mailing address
58 VANDERMARK AVE, NUANGOLA, PA 18707-9596
(570) 574-4920
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN663180
PA
Other
Enumeration date
08/17/2017
Last updated
03/16/2020
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