Healthcare Provider Details

I. General information

NPI: 1417867292
Provider Name (Legal Business Name): JENNIFER REGINA MUIR RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JENNIFER SENTON MUIR RN

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 BETHLEHEM PIKE STE N
COLMAR PA
18915-9809
US

IV. Provider business mailing address

21 SWEETWATER LN
WERNERSVILLE PA
19565-9144
US

V. Phone/Fax

Practice location:
  • Phone: 610-794-4250
  • Fax:
Mailing address:
  • Phone: 610-794-4250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN329233L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: