Individual
JESSICA ROSE CLABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
1 LEMOYNE SQ STE 201, LEMOYNE, PA 17043-1230
(717) 737-4511
(717) 737-5940
Mailing address
1920 PENN ST, HARRISBURG, PA 17102-2272
(608) 213-3794
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP015232
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP015232
CRNP LICENSE
PA
Enumeration date
08/17/2015
Last updated
01/02/2025
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