Individual provider · Type 1 NPI

Mirlene Jacques, MD

Student in an Organized Health Care Education/Training Program · Danville, PA

NPI number 1356683692 Active

Practice location

100 N Academy Ave
Danville, PA 17822-9800

Call (570) 271-6211 Map

Mailing address

100 N. Academy Avenue
Danville, PA 18702

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356683692

Mirlene Jacques, MD's National Provider Identifier is 1356683692, issued on Mar 25, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Danville, PA. The record was last updated on Sep 27, 2013.