MRS. JESSICA ERIN PARK (NPI# 1235620428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235620428 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA ERIN PARK |
| Credential | RN |
| Practice Address |
132 Abigail Lane Port Matilda PA 16870-7153 |
| Mailing Address |
132 Abigail Ln Port Matilda PA 16870-7153 |
| Practice Telephone | 8142727713 |
| Practice Fax Number | 8142726507 |
| Mailing Telephone | 8142727713 |
| Mailing Fax Number | 8142726507 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
RN525954L | PA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720481617 | Jessica Jin Hee Park | Pharmacist | 12105 Falcon Crest Way, Porter Ranch, CA 91326-3896 | 2014-10-06 |
| 1942808837 | Jessica Elizabeth Park | Counselor | 3402 Washington Rd Ste 304, Mc Murray, PA 15317-2964 | 2020-10-13 |
| 1902422488 | Jessica Park | Social Worker | 140 N Frontage Rd, Mansfield Center, CT 06250-1648 | 2020-06-22 |
| 1184244113 | Jessica Hyunji Park | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-20 |
| 1790258184 | Jessica Park | Behavior Technician | 3443 Lilly Rd Ne Ste B, Olympia, WA 98506-3091 | 2019-01-08 |
| 1487197885 | Jessica Park | Optometrist | 7700 W Arrowhead Towne Ctr, Suite 1136, Glendale, AZ 85308-8616 | 2016-12-02 |
| 1033581905 | Jessica Park | Pharmacist | 1833 N Milpitas Blvd, Milpitas, CA 95035-2734 | 2015-10-30 |
| 1285010603 | Jessica Park | Pharmacist | 6432 Losee Rd, North Las Vegas, NV 89086-0100 | 2015-08-07 |
| 1750676292 | Jessica L. Park | Pharmacist | 5717 Ne 138th Ave, Portland, OR 97230-3409 | 2011-06-13 |
| 1851568380 | Jessica G. Park | Physician Assistant | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2008-05-14 |
| Street Address |
132 ABIGAIL LANE |
| City | PORT MATILDA |
| State | PA |
| Zip Code | 16870-7153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627242 | Mona D Duncan | Surgery | 132 Abigail Lane, Port Matilda, PA 16870-5700 | 2005-05-23 |
| 1366934101 | Karen Marie Brooks | Registered Nurse | 132 Abigail Lane, Port Matilda, PA 16870 | 2018-06-06 |
| 1306125190 | Hithem Rahmi | Orthopaedic Surgery | 132 Abigail Lane, Port Matilda, PA 16870 | 2011-08-10 |
| 1336441039 | Universal Community Behavioral Health Inc | Clinic/Center | 132 Abigail Lane, Port Matilda, PA 16870 | 2010-12-01 |
| 1235457003 | Crystal Michele Duffy | Pediatrics | 132 Abigail Lane, Port Matilda, PA 16870-5700 | 2010-05-04 |
| 1881847150 | Elizabeth Anne Royer | Physician Assistant | 132 Abigail Lane, Port Matilda, PA 16870-5700 | 2008-10-30 |
| 1083874770 | Geisinger Clinic | Nurse Practitioner | 132 Abigail Lane, Port Matilda, PA 16870 | 2008-06-16 |
| 1144422783 | Sabrina Kum Whitehurst | Obstetrics & Gynecology | 132 Abigail Lane, Port Matilda, PA 16870-5700 | 2007-06-05 |
| 1386855781 | Sufana Zafar | Pediatrics | 132 Abigail Lane, Port Matilda, PA 16870-5700 | 2007-05-25 |
| 1306067582 | James Bradbury | Specialist | 132 Abigail Lane, Port Matilda, PA 16870-1705 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063732717 | St. Joseph Institute | Substance Abuse Rehabilitation Facility | 134 Jacobs Way, Port Matilda, PA 16870 | 2010-06-04 |
| 1548444268 | Georgianna M Achilles | Psychologist | 454 Rolling Ridge Dr., Port Matilda, PA 16870 | 2007-12-18 |
| 1497803605 | Paul Hughes | Dentist | 101 Briar Court, Port Matilda, PA 16870 | 2007-01-08 |
| 1992896237 | Patrick A. Jarvie | Pediatrics | Geisinger Pediatrics, 132 Abigail Lane, Port Matilda, PA 16870 | 2006-09-28 |
| 1316948011 | Port Matilda Emergency Medical Services | Ambulance | 402 S High St, Port Matilda, PA 16870 | 2005-08-03 |
| 1023556677 | Shahida Fareed | Psychologist | 132 Abigail Ln, Port Matilda, PA 16870 | 2017-02-03 |
| 1326410622 | Nickol Marie Cleary | Physical Therapist | 785 E Mountain Rd, Port Matilda, PA 16870 | 2015-10-26 |
| 1417323031 | Anne Sommerfeld Clause | Physician Assistant | 132 Abigail Ln, Port Matilda, PA 16870 | 2015-08-18 |
| 1487949467 | Trevor Sherrick Smith | Family Medicine | 132 Abigail Ln, Port Matilda, PA 16870 | 2011-06-17 |
| 1063634863 | Kathryn K Eisenhuth | Pediatrics | 132 Abigail Ln, Port Matilda, PA 16870 | 2007-05-02 |
| Find all providers in zip 16870 | ||||
| Taxonomy Code | 163WW0101X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Women's Health Care, Ambulatory |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366934101 | Karen Marie Brooks | Registered Nurse | 132 Abigail Lane, Port Matilda, PA 16870 | 2018-06-06 |
| 1164913380 | Jacqueline Leigh Kline | Registered Nurse | 132 Abigail Ln, Port Matilda, PA 16870-7153 | 2018-05-23 |
| 1306335211 | Mary Jane Rocco | Registered Nurse | 132 Abigail Ln, Port Matilda, PA 16870-7153 | 2018-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389208 | Stephanie Heffner | Registered Nurse | 90 Beaver Dr Ste 211d, Du Bois, PA 15801-2449 | 2018-09-12 |
| 1366925695 | Rebecca Wood | Registered Nurse | 807 Turnpike Ave Ste 260, Clearfield, PA 16830-1239 | 2018-09-12 |
| 1770078180 | Catherine Lynch Harrigan | Registered Nurse | 1111 Franklin St Ste 220, Johnstown, PA 15905-4330 | 2018-06-27 |
| 1871083600 | Kimberly Ruth Thomas | Registered Nurse | 25 Church St Fl 3, Wilkes Barre, PA 18702-3507 | 2018-05-17 |
| 1669863619 | Verlee Cunningham | Registered Nurse | 867 W Ingomar Rd, Pittsburgh, PA 15237-4304 | 2015-02-12 |
| 1457562936 | Sandra L Cohen | Registered Nurse | 6837 Germantown Ave, Philadelphia, PA 19119 | 2007-05-25 |
| 1508985268 | Kristen Jenkins | Registered Nurse | 8 Silk Mill Dr, Suite 226, Hawley, PA 18428-1413 | 2007-03-27 |
| 1700957214 | Alice Matukaitis | Registered Nurse | 10 E Independence St, Shamokin, PA 17872-6804 | 2006-11-13 |
| 1457447203 | Robin Gallagher | Registered Nurse | 821 S Main St Ste 4, Old Forge, PA 18518-1497 | 2006-10-05 |
| 1477108348 | Christina Sophia Kimber | Registered Nurse | 100 N Academy Ave, Danville, PA 17822-0001 | 2019-08-07 |
| Find all providers with the same taxonomy | ||||
| City | PORT MATILDA |
| Zip Code | 16870 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.