Provider Demographics
NPI:1467403154
Name:FEBBRARO, JAYNE (CRNP)
Entity Type:Individual
Prefix:
First Name:JAYNE
Middle Name:
Last Name:FEBBRARO
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JAYNE
Other - Middle Name:
Other - Last Name:HATFIELD-ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:65 E ELIZABETH AVE
Mailing Address - Street 2:SUITE 410
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-6518
Mailing Address - Country:US
Mailing Address - Phone:610-954-3383
Mailing Address - Fax:610-954-6500
Practice Address - Street 1:801 OSTRUM ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-1000
Practice Address - Country:US
Practice Address - Phone:610-954-4434
Practice Address - Fax:610-954-2349
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP001982J363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal