JACQUELINE KOBAL CRNP NPI 1710227137

NPI Information

  • NPI: 1710227137
  • Provider Name: JACQUELINE KOBAL, CRNP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 1100 MEADE ST
    DUNMORE, PA
    ZIP 18512
  • Phone: (570) 342-3675

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NPI Details

Jacqueline Kobal, CRNP is an adult health nurse practitioner in Dunmore, PA. Jacqueline Kobal, CRNP NPI is 1710227137. 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:

1100 MEADE ST
DUNMORE, PA
ZIP 18512-169
Phone: (570) 342-3675
Fax: (570) 342-3316

The enumeration date for this NPI number is 2/21/2013 and was last updated on 2/21/2013.

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
1363LA2200XNurse PractitionerAdult HealthSP012774PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1SP012774OTHERPENNSYLVANIACOMMONWEALTH OF PENNSYLVANIA

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: 3/30/2025

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