Individual
JENNIFER LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-6000
Mailing address
210 STATE STREET, ERIE, PA 16550-0001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
646010
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN646010
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
646010
PA RN LICENSE
PA
Enumeration date
02/06/2024
Last updated
07/03/2025
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