Provider Demographics
NPI:1851799415
Name:MCGEENEY, JODI (BSN RN)
Entity Type:Individual
Prefix:MRS
First Name:JODI
Middle Name:
Last Name:MCGEENEY
Suffix:
Gender:F
Credentials:BSN RN
Other - Prefix:
Other - First Name:JODI
Other - Middle Name:
Other - Last Name:GOSSELIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:488 N HEIDELBERG RD
Mailing Address - Street 2:
Mailing Address - City:ROBESONIA
Mailing Address - State:PA
Mailing Address - Zip Code:19551-8960
Mailing Address - Country:US
Mailing Address - Phone:484-332-3487
Mailing Address - Fax:
Practice Address - Street 1:994 MILLERSVILLE RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-6121
Practice Address - Country:US
Practice Address - Phone:717-584-1100
Practice Address - Fax:717-584-1101
Is Sole Proprietor?:No
Enumeration Date:2014-12-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY694125163W00000X
PARN699277163W00000X
OK114221163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse