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Individual

JENINE MCCLOSKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
255 W LANCASTER AVE, PAOLI, PA 19301-1763
(484) 565-1000
Mailing address
106 TROTTERS LEA LN, CHADDS FORD, PA 19317-8905
(484) 995-6909

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
LG-0012746
NJ
363L00000X
Nurse Practitioner
LG0012746
DE
363LF0000X
Family Nurse Practitioner
Primary
SP028636
PA

Other

Enumeration date
11/08/2023
Last updated
12/05/2024
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