Healthcare Provider Details

I. General information

NPI: 1366503724
Provider Name (Legal Business Name): JOCELYN C EHREN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOCELYN CABAL

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 06/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 S QUEEN ST
YORK PA
17403-4630
US

IV. Provider business mailing address

3421 CONCORD RD
YORK PA
17402-9001
US

V. Phone/Fax

Practice location:
  • Phone: 717-851-6110
  • Fax: 717-851-1999
Mailing address:
  • Phone: 717-851-6110
  • Fax: 717-851-1999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP015095
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: