Provider Demographics
NPI:1780310847
Name:SOLTIS, JESSICA ELIZABETH (CRNP)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ELIZABETH
Last Name:SOLTIS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5126 ROUTE 30 STE 300
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-7835
Mailing Address - Country:US
Mailing Address - Phone:724-836-3027
Mailing Address - Fax:724-836-3029
Practice Address - Street 1:5126 ROUTE 30 STE 300
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-7835
Practice Address - Country:US
Practice Address - Phone:724-836-3027
Practice Address - Fax:724-836-3029
Is Sole Proprietor?:No
Enumeration Date:2022-07-29
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP025956363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner