Provider Demographics
NPI:1154833440
Name:ENGLISH, DEANNA LYNN (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:LYNN
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:DEANNA
Other - Middle Name:LYNN
Other - Last Name:JURBALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:537 N BROMLEY AVE
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18504-1801
Mailing Address - Country:US
Mailing Address - Phone:570-878-2173
Mailing Address - Fax:
Practice Address - Street 1:1620 HIGHWAY 315 BLVD
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18702-7125
Practice Address - Country:US
Practice Address - Phone:570-823-8896
Practice Address - Fax:570-270-2692
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-26
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP017928363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty