Doctor Name: | JENNIFER KESTERSON |
NPI Number: | 1871645291 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 3442P |
Business Practice Address: | 475 N Weaber St Annville, PA - 170031104 |
Business Phone Number: | 7178674671 |
Business Fax Number: | 7178674981 |
Mailing Address: | 307 S Front St, 1st Floor HARRISBURG |
State: | PA |
Postal Code: | 171041621 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 08/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 3442P |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |