Individual
JESSICA MARIE MISCHELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
403 S MAIN ST, OLD FORGE, PA 18518-1608
(570) 457-0844
Mailing address
512 MOOSIC RD, OLD FORGE, PA 18518-2027
(570) 466-7539
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN711873
PA
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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