| Doctor Name: | JENNIFER LYNN DUFFORD |
| NPI Number: | 1932568789 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP015947 |
| Business Practice Address: | 701 W Oak St Frackville, PA - 179311672 |
| Business Phone Number: | 5708744100 |
| Business Fax Number: | |
| Mailing Address: | 100 N Academy Ave, DANVILLE |
| State: | PA |
| Postal Code: | 178224903 |
| Phone Number: | 5702716144 |
| Fax Number: | |
| NPI Enumeration Date: | 02/22/2016 |
| NPI Last Update Date: | 03/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP015947 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |