Individual
JILLIAN ALEXANDRA LABATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1245 S CEDAR CREST BLVD STE 201, ALLENTOWN, PA 18103-6258
(610) 402-4870
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN718593
PA
363LW0102X
Women's Health Nurse Practitioner
Primary
SP030292
PA
Other
Enumeration date
04/10/2024
Last updated
08/30/2024
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