Provider Demographics
NPI:1164192720
Name:NEWTON, JESSICIA LAUREN (DNP, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:JESSICIA
Middle Name:LAUREN
Last Name:NEWTON
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 WELLNESS WAY
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19605-8902
Mailing Address - Country:US
Mailing Address - Phone:484-659-2330
Mailing Address - Fax:
Practice Address - Street 1:201 WELLNESS WAY
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19605-8902
Practice Address - Country:US
Practice Address - Phone:484-659-2330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-15
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP024375363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily