Individual
DILLON JARED DUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-8144
Mailing address
174 W FREDERICK ST, MILLERSVILLE, PA 17551-1912
(717) 606-4030
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP018119
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP018119
PA CRNP LICENSE NUMBER
PA
Enumeration date
11/21/2017
Last updated
11/21/2017
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