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Individual

JENNIFER L KESTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1251 E MAIN ST, ANNVILLE, PA 17003-1643
(717) 867-4671
(717) 867-4981
Mailing address
1251 E MAIN ST, ANNVILLE, PA 17003-1643
(717) 867-4671
(717) 867-4981

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP014083
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103051570
PA
05
200383420
IN
05
78007895
KY
Enumeration date
01/17/2007
Last updated
12/10/2020
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