Provider Demographics
NPI:1134368145
Name:YOUNKER, JENNIFER RENEE (RN, BSN)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:RENEE
Last Name:YOUNKER
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 S 3RD ST
Mailing Address - Street 2:APT #2
Mailing Address - City:HAMBURG
Mailing Address - State:PA
Mailing Address - Zip Code:19526-1865
Mailing Address - Country:US
Mailing Address - Phone:610-562-6839
Mailing Address - Fax:
Practice Address - Street 1:150 S 3RD ST
Practice Address - Street 2:APT #2
Practice Address - City:HAMBURG
Practice Address - State:PA
Practice Address - Zip Code:19526-1865
Practice Address - Country:US
Practice Address - Phone:610-562-6839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-13
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN500212L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse