Provider Demographics
NPI:1508902842
Name:SARVER-STEFFENSEN, JENNIFER ANN (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ANN
Last Name:SARVER-STEFFENSEN
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:PO BOX 205
Mailing Address - Street 2:
Mailing Address - City:FORBES ROAD
Mailing Address - State:PA
Mailing Address - Zip Code:15633-0205
Mailing Address - Country:US
Mailing Address - Phone:724-219-3904
Mailing Address - Fax:724-219-3524
Practice Address - Street 1:726 LINDWOOD DR
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-7711
Practice Address - Country:US
Practice Address - Phone:724-219-3904
Practice Address - Fax:724-219-3524
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP005737B363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007746476002Medicaid
PA0007746476002Medicaid
PA034330Medicare ID - Type Unspecified