Provider Demographics
NPI:1669495735
Name:IRONS, JENNIFER LYNN (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:LYNN
Last Name:IRONS
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 1:222 WILLOW VALLEY LAKES DR STE 1900
Mailing Address - Street 2:
Mailing Address - City:WILLOW STREET
Mailing Address - State:PA
Mailing Address - Zip Code:17584-9674
Mailing Address - Country:US
Mailing Address - Phone:717-517-5350
Mailing Address - Fax:717-517-5351
Practice Address - Street 1:222 WILLOW VALLEY LAKES DR STE 1900
Practice Address - Street 2:
Practice Address - City:WILLOW STREET
Practice Address - State:PA
Practice Address - Zip Code:17584-9674
Practice Address - Country:US
Practice Address - Phone:717-517-5350
Practice Address - Fax:717-517-5351
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP-007304363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health