Jasalyn George, LPN

Individual provider Active NPI Licensed Practical Nurse · Effort, PA

NPI 1598075889 · NPPES record last updated Jan 20, 2011

Key facts

NPI
1598075889
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN273311 (PA)
Practice address
1002 Fawn CT
Effort, PA 18330-8604
Phone
(570) 656-4047
NPI assigned
Oct 20, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PN273311PAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ecd Connections Past Accepting new patients
Sped Consulting & Therapy Licensed Practical Nurse Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN273311 PA Yes

Addresses

Primary practice location

1002 Fawn CT
Effort, PA 18330-8604

Mailing address

PO Box 961
Effort, PA 18330-0961

Other providers in Effort, PA

All providers in Effort, PA · Licensed Practical Nurse in Pennsylvania

Sources for this page

Verify at the official NPI Registry.