Healthcare Provider Details

I. General information

NPI: 1003540980
Provider Name (Legal Business Name): JENA HELEN DAIHL CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENA SLOANE CRNP

II. Dates (important events)

Enumeration Date: 07/15/2022
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 ANTRIM COMMONS DR
GREENCASTLE PA
17225-1623
US

IV. Provider business mailing address

785 5TH AVE STE 3
CHAMBERSBURG PA
17201-4232
US

V. Phone/Fax

Practice location:
  • Phone: 717-593-0512
  • Fax: 717-839-6810
Mailing address:
  • Phone: 717-263-9555
  • Fax: 717-709-6529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAC006925
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP025881
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: