Individual
MRS. JILLIAN MARIE MCARDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
241 CLAREMONT AVE, TAMAQUA, PA 18252-4302
(570) 225-7211
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017714
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103394242-0001
—
PA
Enumeration date
10/11/2017
Last updated
02/19/2020
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