Provider Demographics
NPI:1538457601
Name:EDDOWES, JEANNETTE LEE (RN, MSN, CRNP)
Entity Type:Individual
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First Name:JEANNETTE
Middle Name:LEE
Last Name:EDDOWES
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Gender:F
Credentials:RN, MSN, CRNP
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Mailing Address - Street 1:2112 HARRISBURG PIKE
Mailing Address - Street 2:STE 312
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2644
Mailing Address - Country:US
Mailing Address - Phone:717-544-3022
Mailing Address - Fax:717-544-3021
Practice Address - Street 1:2112 HARRISBURG PIKE
Practice Address - Street 2:STE 312
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2644
Practice Address - Country:US
Practice Address - Phone:717-544-3022
Practice Address - Fax:717-544-3021
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-11
Last Update Date:2019-09-25
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Provider Licenses
StateLicense IDTaxonomies
PASP001002H363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner