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Individual

JENNA LYNN MACEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, CRNP, FNP-C

Contact information

Practice address
480 E JEFFERSON ST, BUTLER, PA 16001-4780
(724) 431-0433
Mailing address
8150 PERRY HWY STE 201, PITTSBURGH, PA 15237-5200
(412) 364-2664
(412) 369-9566

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP028659
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104296783-0003
PA
Enumeration date
01/22/2024
Last updated
06/19/2024
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