Individual provider · NPI-1

Jessica L Denigris, CRNP

Nurse Practitioner, Pediatrics · Bethlehem, PA

NPI number1902550643
StatusActive
Last updated in NPPESFeb 11, 2022

Details

NPI
1902550643
Entity type
Individual (NPI-1)
Name
Jessica L Denigris
Credential
CRNP
Sex
Female
Sole proprietor
No
Enumeration date
Feb 11, 2022
Certification date
Feb 11, 2022
Last updated
Feb 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsSP023054PAYes

Other names

  • Jessica L Eberly (Former Name)

Practice location

325 W Broad St Fl 2
Bethlehem, PA 18018-5526

Phone 484-626-9222 · Fax 484-626-9220

Mailing address

2100 Mack Blvd Fl 4
Allentown, PA 18103-5622

Phone 610-390-8057

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