Individual
JESSICA ANNE LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C. R.N. P.
Contact information
Practice address
200 E BROWN ST, EAST STROUDSBURG, PA 18301-3006
(570) 476-3700
(570) 476-3637
Mailing address
206 E BROWN ST, POCONO HEALTHCARE MANAGEMENT-PROFESSIONAL CENTER, EAST STROUDSBURG, PA 18301-3006
(570) 420-4951
(570) 476-3754
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN595830
PA
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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