Doctor Name: | JESSICA BARTKO |
NPI Number: | 1497142228 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP013857 |
Business Practice Address: | 1312 High Rd Jefferson Hills, PA - 150253526 |
Business Phone Number: | 4124059363 |
Business Fax Number: | |
Mailing Address: | 4401 Penn Ave, PITTSBURGH |
State: | PA |
Postal Code: | 152241334 |
Phone Number: | 4126927368 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2015 |
NPI Last Update Date: | 04/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP013857 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |