Feldbauer, Jennifer

Feldbauer, Jennifer is an individual health care provider with primary practice located at 145 Hospital Ave Ste 215 , Du Bois PA 15801-1464. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Feldbauer, Jennifer can be contacted via phone (814) 371-1717.

Contact Information

Primary practice address
145 Hospital Ave Ste 215 Du Bois PA 15801-1464
Phone: (814) 371-1717
Fax: (814) 375-4422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP013966 Pennsylvania

Profile Details

NPI number 1063828952
LBN Legal business name Feldbauer, Jennifer
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2014
Last updated Sep 10th, 2018 - about 7 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 1063828952 NPPES
Pennsylvania MEDICAID 103135358

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