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Individual

MARY JESSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1181 STATE ROUTE 356, LEECHBURG, PA 15656-2033
(724) 845-1145
(724) 845-1679
Mailing address
1181 STATE ROUTE 356, LEECHBURG, PA 15656-2033
(724) 845-1145
(724) 845-1679

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP020813
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14673000
CAQH
Enumeration date
05/20/2014
Last updated
11/20/2020
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