Healthcare Provider Details

I. General information

NPI: 1023726486
Provider Name (Legal Business Name): JESSICA GILBERT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JESSICA SCHEIB

II. Dates (important events)

Enumeration Date: 11/14/2022
Last Update Date: 07/24/2024
Certification Date: 07/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1671 CROOKED OAK DR
LANCASTER PA
17601-4269
US

IV. Provider business mailing address

1671 CROOKED OAK DR
LANCASTER PA
17601-4269
US

V. Phone/Fax

Practice location:
  • Phone: 717-569-5331
  • Fax:
Mailing address:
  • Phone: 717-433-3203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAG10220108
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: