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Individual

MS. JESSICA LYNN WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
187 CONNEAUT LAKE RD, GREENVILLE, PA 16125-9430
(724) 967-4899
Mailing address
187 CONNEAUT LAKE RD, GREENVILLE, PA 16125-9430
(724) 967-4899

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN276999
PA

Other

Enumeration date
12/13/2019
Last updated
12/13/2019
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