Provider Demographics
NPI:1780132464
Name:HAMETZ-SHENK, JESSICA (DNP,BSN,CRNP, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:
Last Name:HAMETZ-SHENK
Suffix:
Gender:F
Credentials:DNP,BSN,CRNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 COCHRAN RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-1203
Mailing Address - Country:US
Mailing Address - Phone:412-531-2902
Mailing Address - Fax:412-531-2948
Practice Address - Street 1:140 CURRY HOLLOW RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-4604
Practice Address - Country:US
Practice Address - Phone:412-650-5623
Practice Address - Fax:412-650-7370
Is Sole Proprietor?:No
Enumeration Date:2016-09-12
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP016551363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner