Healthcare Provider Details

I. General information

NPI: 1174988406
Provider Name (Legal Business Name): JENNA V FRANCISCUS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNA V SMITH CRNA

II. Dates (important events)

Enumeration Date: 12/31/2015
Last Update Date: 03/12/2021
Certification Date: 03/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 UNIVERSITY DR
HERSHEY PA
17033-2360
US

IV. Provider business mailing address

4300 LONDONDERRY RD
HARRISBURG PA
17109-5317
US

V. Phone/Fax

Practice location:
  • Phone: 800-243-1455
  • Fax:
Mailing address:
  • Phone: 717-782-3282
  • Fax: 717-231-8964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN609806
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: