Jessica Bauman, RN

Individual provider Active NPI Registered Nurse · Eddystone, PA

NPI 1699429357 · NPPES record last updated Feb 10, 2022

Key facts

NPI
1699429357
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN721490 (PA)
Practice address
1501 Chester Pike, Suite 301
Eddystone, PA 19022
Phone
(267) 453-7288
NPI assigned
Feb 10, 2022
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN721490PAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN721490 PA Yes

Addresses

Primary practice location

1501 Chester Pike, Suite 301
Eddystone, PA 19022

Mailing address

1501 Chester Pike, Suite 301
Eddystone, PA 19022
Phone (267) 453-7288

Other providers in Eddystone, PA

All providers in Eddystone, PA · Registered Nurse in Pennsylvania

Sources for this page

Verify at the official NPI Registry.