Provider Demographics
NPI:1528406675
Name:HUTSLER, JENNIFER LOUISE (MSN, RN, CRNP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LOUISE
Last Name:HUTSLER
Suffix:
Gender:F
Credentials:MSN, RN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:785 5TH AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-217-4218
Practice Address - Street 1:1624 ORCHARD DR
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-9206
Practice Address - Country:US
Practice Address - Phone:717-267-6427
Practice Address - Fax:717-267-6423
Is Sole Proprietor?:No
Enumeration Date:2013-06-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP013067363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102862653 0001Medicaid
PA4822764OtherAETNA NON HMO
PA50118546OtherCAPITAL BLUE CROSS
PA50118580OtherCAPITAL BLUE CROSS
PAP01253085OtherRAILROAD MEDICARE
PA002901153OtherHIGHMARK BLUE SHIELD
PA102862653 0002Medicaid
PA3805537OtherUNITED HEALTH CARE (MAMSI)
PA8894448OtherAETNA HMO
PA102862653 0002Medicaid