JACQUELINE M HOSTETTER


Address: 100 South Cameron St., Harrisburg, PA 10104-2547
Phone: 7172387662

JACQUELINE M HOSTETTER (NPI# 1790098671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790098671
Entity Type Individual
Full Name JACQUELINE M HOSTETTER
Credential CRNP
Practice Address 100 South Cameron St.
Harrisburg
PA 10104-2547
Mailing Address 1100 S Cameron St
Harrisburg
PA 17104-2547
Practice Telephone 7172387662
Practice Fax Number 7172387894
Mailing Telephone 7172387662
Mailing Fax Number 7172387894
Enumeration Date 2010-07-20
Last Update Date 2020-05-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
SP010838 PA Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
APRN11005043 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 100 SOUTH CAMERON ST.
City HARRISBURG
State PA
Zip Code 10104-2547

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1871120600 Jessica R Jackson Nurse Practitioner 303 S Commercial St Ste 10, Harrisburg, IL 62946-2125 2020-03-23
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Competitor

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City HARRISBURG
Zip Code 10104

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Dataset Information

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.

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