Healthcare Provider Details

I. General information

NPI: 1316348329
Provider Name (Legal Business Name): JESSICA BICKEL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2014
Last Update Date: 09/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712 SOUTH AVE
PITTSBURGH PA
15221-2940
US

IV. Provider business mailing address

712 SOUTH AVE
PITTSBURGH PA
15221-2940
US

V. Phone/Fax

Practice location:
  • Phone: 412-243-3400
  • Fax: 412-244-4797
Mailing address:
  • Phone: 412-243-3400
  • Fax: 412-244-4797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN610071
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: