| Doctor Name: | JACQUELYN R RENCHER |
| NPI Number: | 1033395983 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP011691 |
| Business Practice Address: | 500 University Dr Hershey, PA - 170332360 |
| Business Phone Number: | 8002431455 |
| Business Fax Number: | |
| Mailing Address: | Po Box 858, Mc A410 HERSHEY |
| State: | PA |
| Postal Code: | 170330858 |
| Phone Number: | 8002431455 |
| Fax Number: | |
| NPI Enumeration Date: | 01/10/2008 |
| NPI Last Update Date: | 11/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | SP011691 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |