Jessica Ann Washenko-Blank, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP023571 Issued in PA

Practice address

217 Scranton Carbondale Hwy
Scranton, PA 18508-1111

Phone

(570) 689-1866

Fax

(844) 569-1525

NPI assigned

Mar 30, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1871171983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 SCRANTON CARBONDALE HWY",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185081111",
            "telephone_number": "570-689-1866",
            "fax_number": "844-569-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SCRANTON CARBONDALE HWY",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185081111",
            "telephone_number": "570-689-1866",
            "fax_number": "844-569-1525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450R Hickory Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Greenfield Township",
            "state": "PA",
            "postal_code": "184073602",
            "country_code": "US",
            "telephone_number": "570-766-1005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHENKO-BLANK",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Wascavage
• Sara A Wascovich, RPH
• Jennifer Wascura
• Selena Washburn, LMT
• Carli Washenik
• Melissa Grace Wasielewski, PA-C
• Laurie Ellen Waskovich, M.S., R.D., LDN
• Kaylee Anne Waters
• Antoneil Watt
• WBH Scranton I, LLC

• Family Nurse Practitioner in Scranton, PA
• Providers in Scranton, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.