Individual provider · Type 1 NPI

Jacob Burnell Penhollow, FNP-BC

Family Nurse Practitioner · Bradford, PA

NPI number 1285453936 Active

Practice location

116 Interstate Pkwy
Bradford, PA 16701-1036

Mailing address

1160 Chili Ave Ste 200
Rochester, NY 14624-3035

Other practice locations

  • 515 Main St, Olean, NY 14760-1598 · (716) 373-2600

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X351530 (NY)

Family Nurse Practitioner: Definition to come...

54 other providers at this address

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About NPI 1285453936

Jacob Burnell Penhollow, FNP-BC's National Provider Identifier is 1285453936, issued on Oct 9, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bradford, PA. The record was last updated on Oct 9, 2024.