Healthcare Provider Details

I. General information

NPI: 1952870917
Provider Name (Legal Business Name): JENNIFER TUROCY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER GUISE

II. Dates (important events)

Enumeration Date: 11/20/2018
Last Update Date: 10/05/2020
Certification Date: 10/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

969 GREENTREE RD STE 100
PITTSBURGH PA
15220-3328
US

IV. Provider business mailing address

969 GREENTREE RD STE 100
PITTSBURGH PA
15220-3328
US

V. Phone/Fax

Practice location:
  • Phone: 724-655-3000
  • Fax:
Mailing address:
  • Phone: 412-922-5250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberSP019510
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP019510
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: