Individual provider · Type 1 NPI

Jessica Erin Park, RN

Ambulatory Women's Health Care Registered Nurse · Port Matilda, PA

NPI number 1235620428 Active

Practice location

132 Abigail Lane
Port Matilda, PA 16870-7153

Fax (814) 272-6507

Mailing address

132 Abigail Ln
Port Matilda, PA 16870-7153

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Women's Health Care Registered Nurse Primary 163WW0101XRN525954L (PA)

Ambulatory Women's Health Care Registered Nurse: Definition to come...

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About NPI 1235620428

Jessica Erin Park, RN's National Provider Identifier is 1235620428, issued on May 23, 2018. The primary taxonomy on file is Ambulatory Women's Health Care Registered Nurse (163WW0101X), and the practice location is in Port Matilda, PA. The record was last updated on May 23, 2018.