IndividualActive
Jessica Park, RN
NPI 1235620428 · Ambulatory Women's Health Care Registered Nurse · Port Matilda, PA
Provider details
- NPI number
- 1235620428
- Entity type
- Individual
- Primary specialty
- Ambulatory Women's Health Care Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- RN525954L (PA)
Practice location
132 Abigail Lane
Port Matilda, PA 16870-7153
Phone: (814) 272-7713
Fax: (814) 272-6507
Mailing address
132 Abigail Ln
Port Matilda, PA 16870-7153
Registry dates
- Enumerated
- 2018-05-23
- Last updated
- 2018-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.