Individual provider · Type 1 NPI

Jordyn D. Noullet, CRNP

Nurse Practitioner · Scranton, PA

NPI number 1013636265 Active

Practice location

1800 Mulberry St
Scranton, PA 18510-2369

Fax (570) 703-8250

Mailing address

100 N Academy Ave
Danville, PA 17822-4903

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Nurse Practitioner 363LC0200XSP026133 (PA)
Nurse Practitioner Primary 363L00000XSP026133 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1013636265

Jordyn D. Noullet, CRNP's National Provider Identifier is 1013636265, issued on Aug 23, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Scranton, PA. The record was last updated on Nov 27, 2023.