Healthcare Provider Details

I. General information

NPI: 1508902842
Provider Name (Legal Business Name): JENNIFER ANN SARVER-STEFFENSEN C.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

726 LINDWOOD DR
GREENSBURG PA
15601-7711
US

IV. Provider business mailing address

PO BOX 205
FORBES ROAD PA
15633-0205
US

V. Phone/Fax

Practice location:
  • Phone: 724-219-3904
  • Fax: 724-219-3524
Mailing address:
  • Phone: 724-219-3904
  • Fax: 724-219-3524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberTP005737B
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: