Provider Demographics
NPI:1205347663
Name:BEATTIE, JENNA (CRNP)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:BEATTIE
Suffix:
Gender:
Credentials:CRNP
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:
Other - Last Name:BALKOVEC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:470 JOHNSON RD STE 110
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-8944
Mailing Address - Country:US
Mailing Address - Phone:412-974-9312
Mailing Address - Fax:
Practice Address - Street 1:470 JOHNSON RD STE 110
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-8944
Practice Address - Country:US
Practice Address - Phone:724-579-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-12
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP018572363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily