Individual
JACLYNN N HARNISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
44 W 21ST ST, #101, NORTHAMPTON, PA 18067-1221
(484) 526-7275
(610) 261-2187
Mailing address
801 OSTRUM ST, ENROLLMENT CENTER, BETHLEHEM, PA 18015-1000
(484) 526-6048
(484) 526-6500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
686024KHD
MEDICARE GROUP
PA
Enumeration date
02/07/2017
Last updated
02/07/2017
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