Provider Demographics
NPI:1275905812
Name:STIRLING, JENNIFER (CRNP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:STIRLING
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 ROUNDTOP DR
Mailing Address - Street 2:
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-4741
Mailing Address - Country:US
Mailing Address - Phone:724-525-7973
Mailing Address - Fax:
Practice Address - Street 1:188 MAIN STREET
Practice Address - Street 2:
Practice Address - City:PLUMVILLE
Practice Address - State:PA
Practice Address - Zip Code:16246-0000
Practice Address - Country:US
Practice Address - Phone:724-397-9008
Practice Address - Fax:724-397-9015
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP015270363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner