Individual
JESSICA THUY-NHU GENETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
300 MAYTOWN RD, ELIZABETHTOWN, PA 17022-9314
(717) 367-1430
(717) 367-2895
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP029126
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043084090001
—
PA
01
—
6N0846
MEDICARE
PA
Enumeration date
03/15/2024
Last updated
04/02/2025
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