Provider Demographics
NPI:1376727586
Name:SILVERS, JAYANNE CHRISTINE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JAYANNE
Middle Name:CHRISTINE
Last Name:SILVERS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 775
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:PA
Mailing Address - Zip Code:16112-0775
Mailing Address - Country:US
Mailing Address - Phone:724-667-7124
Mailing Address - Fax:724-667-9477
Practice Address - Street 1:1624 E. POLAND RD.
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:PA
Practice Address - Zip Code:16112-0775
Practice Address - Country:US
Practice Address - Phone:724-667-7124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP-043118-L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist