Healthcare Provider Details

I. General information

NPI: 1154464345
Provider Name (Legal Business Name): JANE ESCOTT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1510 VALLEY CENTER PKWY SUITE 200
BETHLEHEM PA
18017-2267
US

IV. Provider business mailing address

1510 VALLEY CENTER PKWY SUITE 200
BETHLEHEM PA
18017-2267
US

V. Phone/Fax

Practice location:
  • Phone: 610-954-2778
  • Fax: 610-954-2820
Mailing address:
  • Phone: 610-954-2778
  • Fax: 610-954-2820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN277375L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: