Healthcare Provider Details
I. General information
NPI: 1609542190
Provider Name (Legal Business Name): JENNIFER L LAPP CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/17/2021
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
228 SAINT CHARLES WAY STE 300
YORK PA
17402-4661
US
IV. Provider business mailing address
601 MEMORY LN
YORK PA
17402-2231
US
V. Phone/Fax
- Phone: 717-812-5400
- Fax: 717-741-3598
- Phone: 717-851-1405
- Fax: 717-851-6969
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LG0600X |
| Taxonomy | Gerontology Nurse Practitioner |
| License Number | SP024288 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2100X |
| Taxonomy | Acute Care Nurse Practitioner |
| License Number | SP024288 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: