Provider Demographics
NPI:1003976895
Name:DILLINGER, JAMIE L (CRNP)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:L
Last Name:DILLINGER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:21 INDUSTRIAL BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1610
Mailing Address - Country:US
Mailing Address - Phone:610-251-0300
Mailing Address - Fax:610-251-0304
Practice Address - Street 1:21 INDUSTRIAL BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1610
Practice Address - Country:US
Practice Address - Phone:610-251-0300
Practice Address - Fax:610-251-0304
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP008955363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily