Doctor Name: | JENELL AUGUST |
NPI Number: | 1609164458 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | R165779 |
Business Practice Address: | 1 Reading Dr Wellness Center Wernersville, PA - 195652018 |
Business Phone Number: | 6109278187 |
Business Fax Number: | |
Mailing Address: | 1 Reading Dr, Wellness Center WERNERSVILLE |
State: | PA |
Postal Code: | 195652018 |
Phone Number: | 6109278187 |
Fax Number: | |
NPI Enumeration Date: | 07/14/2011 |
NPI Last Update Date: | 05/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | R165779 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |