Healthcare Provider Details

I. General information

NPI: 1932012275
Provider Name (Legal Business Name): COURTNEY JO PASCARELLA DNP, FNP, CRNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4517 TROXELL DR
WHITEHALL PA
18052-1407
US

IV. Provider business mailing address

4711 KERNSVILLE RD. P.O. BOX 42
OREFIELD PA
18069-9850
US

V. Phone/Fax

Practice location:
  • Phone: 315-525-9655
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP036978
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: