Provider Demographics
NPI:1942934120
Name:STEFANESCU, JESSIE ELIZABETH (CRNP)
Entity Type:Individual
Prefix:
First Name:JESSIE
Middle Name:ELIZABETH
Last Name:STEFANESCU
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JESSIE
Other - Middle Name:ELIZABETH
Other - Last Name:RIFE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:325 E CLAY ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-2031
Mailing Address - Country:US
Mailing Address - Phone:717-314-2500
Mailing Address - Fax:
Practice Address - Street 1:562 W 2ND AVE
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-1816
Practice Address - Country:US
Practice Address - Phone:717-626-2167
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP025905363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily