Most Relevant Information
Provider Data
| NPI Number: | 1003220641 |
| Provider Name: | JESSICA LYNN CARNEY |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/11/2014 |
| Last Updated: | 04/04/2019 |
Provider Practice Location
100 N ACADEMY AVE
DANVILLE
PA
178229800
Practice Location Phone/Fax
| Phone: | 5702717910 |
| Fax: | 5702716002 |
Provider Mailing Location
100 N ACADEMY AVE
DANVILLE
PA
178224903
Provider Mailing Phone/Fax
| Phone: | 5702716144 |
| Fax: | 5702716578 |