Healthcare Provider Details

I. General information

NPI: 1760136147
Provider Name (Legal Business Name): JENNIFER LYNN CHAIRGE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER LYNN CONKLIN

II. Dates (important events)

Enumeration Date: 02/04/2022
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 W CHESTNUT ST
WASHINGTON PA
15301-4657
US

IV. Provider business mailing address

380 W CHESTNUT ST STE 201
WASHINGTON PA
15301-4643
US

V. Phone/Fax

Practice location:
  • Phone: 724-578-5647
  • Fax: 877-840-6960
Mailing address:
  • Phone: 724-578-5647
  • Fax: 877-840-6960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP025586
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: