JESSICA L DIETZ WHNP NPI 1417331091

NPI Information

NPI: 1417331091
Provider Name: JESSICA L DIETZ, WHNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
3 HOSPITAL DR STE 312
LEWISBURG, PA
ZIP 17837
Phone: (570) 523-8700
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Jessica L Dietz, WHNP is a women's health nurse practitioner in Lewisburg, PA. Jessica L Dietz, WHNP NPI is 1417331091. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3 HOSPITAL DR STE 312
LEWISBURG, PA
ZIP 17837-909
Phone: (570) 523-8700
Fax: (570) 523-8705

The NPI 1417331091 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/14/2015 and was last updated on 6/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	SP023006	PENNSYLVANIA	No
2	363LW0102X	Nurse Practitioner	Women's Health	5007758	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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