Individual
MRS. JESSICA RENEE TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9 CAMPBELL DR, AVELLA, PA 15312-2738
(724) 587-3472
Mailing address
310 COLONIAL DR, WAYNESBURG, PA 15370-3410
(724) 833-4355
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP014161
PA
Other
Enumeration date
09/01/2014
Last updated
09/01/2014
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