(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003290404
Provider Name: JAMIE L PARK CRNP
Entity Type: Individual
Taxonomy Code: 363LF0000X
Specialty: Nurse Practitioner
License Number: SP015055
Most Important Dates
Enumeration Date: 07/15/2015
Last Updated: 07/15/2015
Provider Practice Location
90 SHENANGO ST
GREENVILLE
PA
161252060
Practice Location Phone/Fax
Phone: 7245884240
Fax:
Provider Mailing Location
90 SHENANGO ST
GREENVILLE
PA
161252060
Provider Mailing Phone/Fax
Phone: 7245884240
Fax: