Individual
JESSICA MCKENTLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4860 PENN AVE, SINKING SPRING, PA 19608-8601
(484) 659-1520
Mailing address
4860 PENN AVE, SINKING SPRING, PA 19608-8601
(484) 955-4440
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP023437
PA
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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