Individual
JENNIFER LYNN MAXIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 371-2200
Mailing address
343 W LIBERTY RD, REYNOLDSVILLE, PA 15851-5707
(814) 952-9130
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP023852
PA
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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