Buff, Jacquelyn

Buff, Jacquelyn is an individual health care provider with primary practice located at 425 E 1St St , Bloomsburg PA 17815-1480. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Buff, Jacquelyn can be contacted via phone (570) 416-1890.

Contact Information

Primary practice address
425 E 1St St Bloomsburg PA 17815-1480
Phone: (570) 416-1890
Fax: (570) 416-1892
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP015193 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X SP015193 Pennsylvania

Profile Details

NPI number 1992179030
LBN Legal business name Buff, Jacquelyn
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2015
Last updated Aug 30th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992179030 NPPES
Pennsylvania Other 467939 MEDICARE

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