Most Relevant Information
Provider Data
| NPI Number: | 1003581620 |
| Provider Name: | JUSTIN ROGERS CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP2300X |
| Specialty: | Nurse Practitioner |
| License Number: | SP024208 |
Most Important Dates
| Enumeration Date: | 08/16/2021 |
| Last Updated: | 08/16/2021 |
Provider Practice Location
111 S FRONT ST
HARRISBURG
PA
171012010
Practice Location Phone/Fax
| Phone: | 7177823131 |
| Fax: |
Provider Mailing Location
111 S FRONT ST
HARRISBURG
PA
171012010
Provider Mailing Phone/Fax
| Phone: | 8773212963 |
| Fax: |