Provider Demographics
NPI:1639648041
Name:KERSCHNER, LAURIE JEANNETTE (CRNP)
Entity Type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:JEANNETTE
Last Name:KERSCHNER
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 1:166 WELLIVERS HILL RD
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:PA
Mailing Address - Zip Code:17814-8131
Mailing Address - Country:US
Mailing Address - Phone:570-392-3268
Mailing Address - Fax:
Practice Address - Street 1:166 WELLIVERS HILL RD
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:PA
Practice Address - Zip Code:17814-8131
Practice Address - Country:US
Practice Address - Phone:570-392-3268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-14
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP029580363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily