Individual
JESSICA L DENIGRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
325 W BROAD ST FL 2, BETHLEHEM, PA 18018-5526
(484) 626-9222
(484) 626-9220
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(610) 390-8057
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP023054
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP023054
STATE LICENSE
PA
Enumeration date
02/11/2022
Last updated
02/11/2022
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