Doctor Name: | JENNIFER L SCHELL |
NPI Number: | 1063895431 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN,CRNP |
License Number: | SP015040 |
Business Practice Address: | 101 N State St Clarks Summit, PA - 184111055 |
Business Phone Number: | 8004653203 |
Business Fax Number: | |
Mailing Address: | 417 Susquehanna Ave, WYOMING |
State: | PA |
Postal Code: | 186441924 |
Phone Number: | 5706931314 |
Fax Number: | |
NPI Enumeration Date: | 07/03/2015 |
NPI Last Update Date: | 05/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP015040 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |