Healthcare Provider Details

I. General information

NPI: 1447491303
Provider Name (Legal Business Name): BETHANY JOLLEY HEMPHILL RN, MSN, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2009
Last Update Date: 03/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4870 YORK RD
BUCKINGHAM PA
18912
US

IV. Provider business mailing address

4870 YORK RD
BUCKINGHAM PA
18912
US

V. Phone/Fax

Practice location:
  • Phone: 215-794-3305
  • Fax: 215-794-3361
Mailing address:
  • Phone: 215-794-3305
  • Fax: 215-794-3361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberTP-003530D
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: