Individual
JENNIFER ECKENRODE FITZSIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5157 BUSINESS 220 STE 1, BEDFORD, PA 15522-7770
(814) 623-8414
(814) 623-6668
Mailing address
5157 BUSINESS 220 STE 1, BEDFORD, PA 15522-7770
(814) 623-8414
(814) 623-6668
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R200178
MD
363LP2300X
Primary Care Nurse Practitioner
Primary
SP016704
PA
Other
Enumeration date
10/23/2013
Last updated
11/02/2022
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